Individual
JESSICA LEE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3103 E CARTWRIGHT AVE, FRESNO, CA 93725-9385
(559) 498-7100
(559) 498-7111
Mailing address
1003 N PEACH AVE APT 101, FRESNO, CA 93727-2400
(209) 573-3370
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
219147
CA
Other
Enumeration date
12/07/2022
Last updated
12/07/2022
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