Individual
RJ DAVE HERNANDEZ SOLIVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNS
Contact information
Practice address
757 WESTWOOD PLZ, LOS ANGELES, CA 90095-8358
(310) 267-7015
Mailing address
20764 NASHVILLE ST, CHATSWORTH, CA 91311-1522
(818) 730-6104
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
694189
CA
364SP0200X
Pediatric Clinical Nurse Specialist
Primary
4650
CA
Other
Enumeration date
06/09/2023
Last updated
06/09/2023
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