Individual
MRS. BRIDGETTE MARIE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PHN
Contact information
Practice address
286 S. 16TH ST., GROVER BEACH, CA 93433-2245
(805) 472-7052
(805) 474-7473
Mailing address
286 S. 16TH ST., GROVER BEACH, CA 93433
(805) 472-7052
(805) 474-7473
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN402321
CA
Other
Enumeration date
08/24/2007
Last updated
08/24/2007
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