Individual
JILL HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9961 SIERRA AVE, FONTANA, CA 92335-6720
(909) 302-4924
Mailing address
1418 SUNSET AVE, PASADENA, CA 91103-2147
(817) 680-8199
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
129348
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95001195
CA
Other
Enumeration date
09/13/2019
Last updated
12/01/2021
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