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Individual

MISS CRYSTAL C. HERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
324 E BIXBY RD, LONG BEACH, CA 90807-3432
(562) 595-8111
(562) 595-8148
Mailing address
324 E BIXBY RD, LONG BEACH, CA 90807-3432
(562) 595-8111
(562) 595-8148

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
04/09/2010
Last updated
04/09/2010
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