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Individual

DR. ANATOLY KRISTIANN HERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1145 STURGIS ROAD, TWENTYNINE PALMS, CA 92278
(760) 830-2307
Mailing address
1145 STURGIS ROAD, TWENTYNINE PALMS, CA 92278
(760) 830-2307

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
20A10642
CA

Other

Enumeration date
06/14/2007
Last updated
12/22/2021
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