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Individual

MR. JONATHAN HERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
2716 N TENAYA WAY, LAS VEGAS, NV 89128-0424
(702) 877-5199
(858) 258-6741
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 383-6210
(858) 258-6741

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9108887
FL
363AM0700X
Medical Physician Assistant
PA2882
NV
363AM0700X
Medical Physician Assistant
PA9108887
FL
363AM0700X
Medical Physician Assistant
FL

Other

Enumeration date
08/12/2015
Last updated
05/06/2026
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