Individual
FERNANDO HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
309 E 2ND ST, POMONA, CA 91766-1854
(909) 623-6116
Mailing address
4530 AVON ST, JURUPA VALLEY, CA 92509-3111
(951) 255-4561
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/17/2022
Last updated
07/17/2022
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