Individual
KRISTINA MARIE HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
(916) 734-0412
Mailing address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95014658
CA
Other
Enumeration date
10/12/2020
Last updated
02/02/2021
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