Individual
PATRICIA Y HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HAIR LOSS SPECIALIST
Contact information
Practice address
3154 WINLOW ST, SAN DIEGO, CA 92105-3725
(619) 316-5028
Mailing address
3154 WINLOW ST, SAN DIEGO, CA 92105-3725
(619) 316-5028
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
KK275336
CA
224P00000X
Prosthetist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
05/20/2021
Last updated
01/23/2023
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