Individual
JENNIFER RENEE HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3600 30TH ST, DES MOINES, IA 50310-5753
(515) 699-5999
Mailing address
2705 BELMONT AVE, SAN BERNARDINO, CA 92407-2165
(909) 518-7046
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P10278
ID
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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