Individual
NANCY HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
426 S SAN PEDRO ST, LOS ANGELES, CA 90013-2119
(213) 626-6411
Mailing address
12070 TELEGRAPH RD, SANTA FE SPRINGS, CA 90670-3771
(562) 777-7500
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/15/2025
Last updated
05/15/2025
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