Individual
MS. ISIS G HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D
Contact information
Practice address
726 E 88TH PL, LOS ANGELES, CA 90002-1024
(323) 490-4670
Mailing address
726 E 88TH PL, LOS ANGELES, CA 90002-1024
(323) 490-4670
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
996466
CA
Other
Enumeration date
08/23/2010
Last updated
08/23/2010
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