Individual
DENISE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5623 KANAN RD, AGOURA, CA 91301-3358
(818) 991-5522
Mailing address
740 HACIENDA DR, CAMARILLO, CA 93012-5214
(805) 607-4562
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95018725
CA
Other
Enumeration date
10/27/2021
Last updated
10/27/2021
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