Individual
EDITH MARIN HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
13614 ZIRCON WAY, VICTORVILLE, CA 92394-0563
(760) 780-0717
Mailing address
13614 ZIRCON WAY, VICTORVILLE, CA 92394-0563
(760) 780-0717
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN218645
CA
Other
Enumeration date
04/25/2008
Last updated
04/23/2009
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