Individual
MR. ED CARLO HERNANDEZ MARIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10205 CHAPARRAL WAY UNIT E, RANCHO CUCAMONGA, CA 91730-3792
(662) 385-2776
Mailing address
10205 CHAPARRAL WAY UNIT E, RANCHO CUCAMONGA, CA 91730-3792
(662) 385-2776
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
NP95028467
CA
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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