Individual
DIANA MARITZA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6957 N FIGUEROA ST, LOS ANGELES, CA 90042
(323) 443-3175
(323) 443-3270
Mailing address
7861 WINNETKA AVE, WINNETKA, CA 91306-2350
(818) 271-0754
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
12/11/2017
Last updated
05/22/2018
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