Individual
MS. IRMA HERNANDEZ SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11285 MOUNTAIN VIEW AVE, 40, LOMA LINDA, CA 92354-3862
(909) 558-5844
(909) 558-3168
Mailing address
15443 OLD CASTLE RD, FONTANA, CA 92337-0909
(909) 275-0416
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
814787
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
95003989
CA
Other
Enumeration date
05/05/2016
Last updated
12/22/2023
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