Individual
JAZMINE LIZETH HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6957 N FIGUEROA ST, LOS ANGELES, CA 90042-1245
(323) 443-3175
Mailing address
12805 VANOWEN ST APT 4, NORTH HOLLYWOOD, CA 91605-5211
(747) 228-5166
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
708422
CA
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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