Individual
VICKI HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1236 N EL DORADO ST STE ABC, STOCKTON, CA 95202-1324
(209) 944-5517
Mailing address
1236 N EL DORADO ST STE ABC, STOCKTON, CA 95202-1324
(209) 944-5517
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
—
Other
Enumeration date
10/22/2007
Last updated
10/22/2007
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