Individual
RAFAEL GUADALUPE HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1358 DYNES ST, MERCED, CA 95348-8410
(209) 500-9678
Mailing address
1358 DYNES ST, MERCED, CA 95348-8410
(209) 500-9678
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
1600058913
CA
Other
Enumeration date
07/13/2017
Last updated
07/13/2017
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