Individual
DAVID HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3667 VALLEY BLVD SPC 121, POMONA, CA 91768-6878
(909) 242-9018
Mailing address
3667 VALLEY BLVD SPC 121, POMONA, CA 91768-6878
(909) 242-9018
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/12/2020
Last updated
05/12/2022
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