Individual
NICHOLAS HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2138 S WISTERIA CT, ONTARIO, CA 91761-5436
(626) 824-6935
(626) 824-6935
Mailing address
2138 S WISTERIA CT, ONTARIO, CA 91761-5436
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
54565
CA
Other
Enumeration date
12/18/2025
Last updated
12/18/2025
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