Individual
BLANCA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
43807 10TH ST W STE D, LANCASTER, CA 93534-4805
(661) 575-9365
Mailing address
43807 10TH ST W STE D, LANCASTER, CA 93534-4805
(661) 575-9365
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
CA
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
05/19/2017
Last updated
02/12/2020
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