Individual
ANGELINA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
503 OCEAN FRONT WALK, VENICE, CA 90291-2403
(310) 392-3070
(310) 392-0823
Mailing address
503 OCEAN FRONT WALK, VENICE, CA 90291-2403
(310) 392-3070
(310) 392-0823
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
221050
CA
Other
Enumeration date
01/03/2021
Last updated
01/03/2021
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