Individual
ANDREA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2055 SAVIERS RD, OXNARD, CA 93033-3608
(805) 483-9825
Mailing address
2055 SAVIERS RD, OXNARD, CA 93033-3608
(805) 483-9825
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
301214-1
NY
164X00000X
Licensed Vocational Nurse
Primary
721795
CA
Other
Enumeration date
07/10/2012
Last updated
01/19/2022
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