Individual
KATHERINE HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
11799 SEBASTIAN WAY, RANCHO CUCAMONGA, CA 91730-0708
(760) 912-0426
Mailing address
831 MESCAL DR, BARSTOW, CA 92311-5418
(760) 912-0426
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
HAP1070
CA
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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