Individual
AMANDA PRISCILLA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10862 CALLE VERDE, LA MESA, CA 91941-7340
(858) 554-7439
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 554-7439
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
61008
CA
Other
Enumeration date
02/18/2022
Last updated
03/31/2025
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