Individual
JACQUELINE NICOLE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
6131 ORANGETHORPE AVE, BUENA PARK, CA 90620-1315
(562) 341-4603
Mailing address
4503 DUNROBIN AVE, LAKEWOOD, CA 90713-2525
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
34324
CA
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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