Individual
EMELY V HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
625 5TH ST, SANTA ROSA, CA 95404-4428
(707) 565-4438
Mailing address
625 5TH ST, SANTA ROSA, CA 95404-4428
(707) 565-4568
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN720833
CA
Other
Enumeration date
06/17/2008
Last updated
08/03/2009
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