Individual
EDWARD HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
127 S PEKIN RD UNIT F, WOODLAND, WA 98674-9731
(360) 843-8369
Mailing address
127 S PEKIN RD UNIT F, WOODLAND, WA 98674-9731
(360) 843-8369
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CA
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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