Individual
DIANA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
341 CALDERA ST, PERRIS, CA 92570-5533
(951) 400-2298
Mailing address
341 CALDERA ST, PERRIS, CA 92570-5533
(951) 400-2298
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
700368
CA
Other
Enumeration date
02/23/2021
Last updated
02/23/2021
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