Individual
THALIA JOVANA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3346 GALE AVE, LONG BEACH, CA 90810-2555
(562) 336-9184
Mailing address
3346 GALE AVE, LONG BEACH, CA 90810-2555
(562) 336-9184
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
95200996
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95002803
CA
Other
Enumeration date
02/24/2025
Last updated
01/27/2026
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