Individual
EARL JOSHUA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
260 E MARKET ST, LONG BEACH, CA 90805-5910
(562) 428-4681
Mailing address
260 E MARKET ST, LONG BEACH, CA 90805-5910
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3529
CA
Other
Enumeration date
03/06/2018
Last updated
03/06/2018
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