Individual
CINTHYA LILIANA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
637 MERCED ST, NEWMAN, CA 95360-1070
(209) 862-0270
(209) 862-0274
Mailing address
737 W CHILDS AVE, MERCED, CA 95341-6805
(209) 383-1848
(209) 383-1296
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
363LF0000X
Family Nurse Practitioner
Primary
95003754
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05-1063
FQHC MEDICARE PART A
CA
01
—
ZZZ29799Z
FQHC MEDICARE PART B
CA
Enumeration date
09/11/2007
Last updated
10/20/2016
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