Individual
DIANA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1075 CAMINO DEL RIO S, SAN DIEGO, CA 92108-3538
(619) 822-1273
Mailing address
39648 DOVER DR, PALMDALE, CA 93551-3100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
681492
CA
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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