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Individual

MRS. CARISA LIANE HERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
801 S CHEVY CHASE DR, SUITE #105, GLENDALE, CA 91205-4431
(818) 242-5299
Mailing address
801 S CHEVY CHASE DR, SUITE #105, GLENDALE, CA 91205-4431
(818) 242-5299

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95003871
CA

Other

Enumeration date
03/18/2016
Last updated
03/18/2016
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