Individual
DHAISHA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21455 BIRCH ST STE 201, HAYWARD, CA 94541-2165
(510) 844-5370
(510) 583-0410
Mailing address
21455 BIRCH ST STE 201, HAYWARD, CA 94541-2165
(510) 844-5370
(510) 583-0410
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/27/2019
Last updated
02/27/2019
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