Individual
ABDIEL NOE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14252 CULVER DRIVE STE A, IRVINE, CA 92604
(714) 808-3636
Mailing address
14252 CULVER DR # A844, IRVINE, CA 92604-0317
(714) 769-0708
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
172A00000X
CA
Other
Enumeration date
04/29/2014
Last updated
04/29/2014
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