Individual
MRS. VERONICA LUISA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22 EDGEBROOK DR, PHILLIPS RANCH, CA 91766-4767
(909) 623-3505
Mailing address
22 EDGEBROOK DR, PHILLIPS RANCH, CA 91766-4767
(909) 623-3505
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
37282
CA
Other
Enumeration date
04/13/2011
Last updated
04/13/2011
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