Individual
IRENE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14525 LAKEWOOD BLVD STE A, PARAMOUNT, CA 90723-3638
(562) 272-0000
Mailing address
14525 LAKEWOOD BLVD STE A, PARAMOUNT, CA 90723-3638
(562) 272-0000
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
01/02/2013
Last updated
01/02/2013
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