Individual
DELIA YANIRA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1317 OAKDALE RD STE 440, MODESTO, CA 95355
(209) 522-3362
(209) 522-3363
Mailing address
1317 OAKDALE RD STE 440, MODESTO, CA 95355-3364
(209) 522-3362
(209) 522-3363
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 18613
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA 18613
LICENSE
CA
Enumeration date
10/24/2006
Last updated
03/07/2023
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