Individual
DONITA DEOCALES HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
150 W ROUTE 66, GLENDORA, CA 91740-6207
(626) 852-5063
(626) 693-6843
Mailing address
150 W ROUTE 66, GLENDORA, CA 91740-6207
(626) 852-5063
(626) 693-6843
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
506950
CA
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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