Individual
GUADALUPE H HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3650 MOUNT DIABLO BLVD, LAYAYETTE, CA 94501
(510) 219-9589
Mailing address
1110 PARK ST APT 18, ALAMEDA, CA 94501-5201
(510) 833-1458
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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