Individual
MARIA IRENE HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1645 E 115TH ST, LOS ANGELES, CA 90059-2501
(310) 488-8516
Mailing address
1645 E 115TH ST, LOS ANGELES, CA 90059-2501
(310) 488-8516
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95279760
CA
Other
Enumeration date
04/19/2022
Last updated
04/19/2022
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