Individual
COURTNEY MARIE HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDAEF2
Contact information
Practice address
1315 RENAISSANCE PKWY # 870, RIALTO, CA 92376-2406
(909) 434-1000
Mailing address
1315 RENAISSANCE PKWY STE 870, RIALTO, CA 92376-2406
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
CA
126800000X
Dental Assistant
—
—
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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