Individual
RAUL HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
450 BAUCHET ST, LOS ANGELES, CA 90012-2907
(213) 893-5475
Mailing address
450 BAUCHET ST, LOS ANGELES, CA 90012-2907
(213) 893-5475
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
3995
CA
Other
Enumeration date
04/19/2024
Last updated
04/19/2024
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