Individual
DR. JESSICA LASSETTE HERNANDEZ-GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3015 FLORIDA ST, LONGVIEW, WA 98632-2747
(360) 430-0952
Mailing address
3015 FLORIDA ST, LONGVIEW, WA 98632-2747
(360) 430-0952
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
61097960
WA
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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