Individual
MISS JUANA HORTENCIA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
333 H ST STE 5065, CHULA VISTA, CA 91910-5555
(619) 729-9728
(619) 267-6056
Mailing address
333 H ST STE 5065, CHULA VISTA, CA 91910-5555
(619) 729-9728
(619) 267-6056
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10848
CA
Other
Enumeration date
04/01/2011
Last updated
04/01/2011
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