Individual
JESSICA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18008 PARK CIRCLE, SUITE 110, IRVINE, CA 92614-5955
(949) 474-1493
Mailing address
18008 PARK CIRCLE, SUITE 110, IRVINE, CA 92614-5955
(949) 474-1493
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
04/20/2019
Last updated
05/11/2021
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