Individual
RICHARD HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ULTRASOUND TECH
Contact information
Practice address
3269 N STOCKTON HILL RD, KINGMAN, AZ 86409-3619
(928) 757-2101
Mailing address
815 VISTA GRANDE DR, KINGMAN, AZ 86409-3942
(818) 751-9230
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
CA
Other
Enumeration date
05/17/2020
Last updated
05/17/2020
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