Individual
MS. SOPHIA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
330 CAMPUS DR, HANFORD, CA 93230
(559) 582-3211
Mailing address
4411 E KINGS CANYON RD APT 104, FRESNO, CA 93702-3604
(559) 453-1008
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
73872
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
565438
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261QP0909X
—
CA
Enumeration date
02/11/2009
Last updated
03/22/2021
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