Individual
GLADYS HERNANDEZ BRUNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2594 INDUSTRY WAY, LYNWOOD, CA 90262-4015
(310) 667-4070
Mailing address
2594 INDUSTRY WAY, LYNWOOD, CA 90262-4015
(310) 667-4070
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/04/2024
Last updated
05/21/2025
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