Individual
MS. BRENDA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
18726 S WESTERN AVE, SUITE 204, GARDENA, CA 90248-3813
(310) 316-5235
Mailing address
4832 W 141ST ST, HAWTHORNE, CA 90250-6502
(310) 710-6688
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
18974
CA
Other
Enumeration date
06/17/2011
Last updated
06/17/2011
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