Individual
EDDIE HERNANDEZ GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12740 HESPERIA RD STE B, VICTORVILLE, CA 92395-8306
(760) 713-6969
Mailing address
12740 HESPERIA RD STE B, VICTORVILLE, CA 92395-8306
(760) 713-6969
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95020273
CA
Other
Enumeration date
04/01/2022
Last updated
05/08/2022
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