Individual
ANGELA GOODYEAR HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29982 IVY GLENN DR STE 203, LAGUNA NIGUEL, CA 92677-2097
(949) 309-7903
(949) 716-5243
Mailing address
29982 IVY GLENN DR STE 203, LAGUNA NIGUEL, CA 92677-2097
(949) 309-7903
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95019887
CA
Other
Enumeration date
02/15/2022
Last updated
04/29/2022
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