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Individual

SUSAN R HERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1000 W CARSON ST, TORRANCE, CA 90509
(310) 222-1225
Mailing address
1000 W CARSON ST, TORRANCE, CA 90509
(310) 222-1225

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
560513
CA

Other

Enumeration date
03/19/2008
Last updated
03/19/2008
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