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Individual

JESUS OSWALDO HERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2416 W SHAW AVE STE 114, FRESNO, CA 93711-3303
(559) 374-3990
Mailing address
2416 W SHAW AVE STE 114, FRESNO, CA 93711-3303
(559) 374-3990

Taxonomy

Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
Y1401285
CA
373H00000X
Day Training/Habilitation Specialist
Primary

Other

Enumeration date
06/23/2025
Last updated
08/14/2026
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