Individual
MONIQUE MIRANDA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
25405 HANCOCK AVE STE 108, MURRIETA, CA 92562-5983
(951) 304-7854
(951) 304-7855
Mailing address
39702 COLUMBIA UNION DR UNIT A, MURRIETA, CA 92563-8315
(661) 733-4198
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA56370
CA
Other
Enumeration date
01/08/2019
Last updated
01/08/2019
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