Individual
MR. JACOB GIOVANNI HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9051 LAUREL CANYON BLVD SPC 50, SUN VALLEY, CA 91352-1766
(818) 641-0438
Mailing address
9051 LAUREL CANYON BLVD SPC 50, SUN VALLEY, CA 91352-1766
(818) 641-0438
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
302550
CA
Other
Enumeration date
02/13/2021
Last updated
02/13/2021
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