Individual
JUAN CARLOS HERNANDEZ-JAIME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(979) 743-1655
Mailing address
617 NORTH PL, REDLANDS, CA 92373-5807
(979) 743-1655
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
24794
CA
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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