Individual
INGRID ISABEL HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9639 MADRONA DR, FONTANA, CA 92335-5602
(321) 831-9969
Mailing address
600 N HIGHLAND SPRINGS AVE, BANNING, CA 92220-3046
(951) 845-1121
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
11033759
FL
363L00000X
Nurse Practitioner
Primary
95033340
CA
Other
Enumeration date
07/01/2024
Last updated
12/12/2025
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