Individual
MR. ANGEL ENRIQUE HERMIDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3103 WILLOWBROOK AVE, PALMDALE, CA 93551-1099
(818) 212-3280
Mailing address
3103 WILLOWBROOK AVE, PALMDALE, CA 93551-1099
(818) 212-3280
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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