Individual
MRS. CELINA HERNANDEZ JONGUITUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3314 S 92ND DR, TOLLESON, AZ 85353-5544
(623) 986-2096
Mailing address
3314 S 92ND DR, TOLLESON, AZ 85353-5544
(623) 986-2096
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
LP046719
AZ
Other
Enumeration date
09/23/2013
Last updated
09/23/2013
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