Individual
MARIA ELIZABETH IGNACIO HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2604 S VERMONT AVE STE F, LOS ANGELES, CA 90007-2298
(323) 212-5495
Mailing address
2100 FAIR PARK AVE APT 115, LOS ANGELES, CA 90041-1946
(626) 626-0653
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
RDA90778
CA
Other
Enumeration date
11/01/2019
Last updated
11/01/2019
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