Individual
FIONA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
490 N GRAPE ST, ESCONDIDO, CA 92025-3079
(760) 975-9939
Mailing address
490 N GRAPE ST, ESCONDIDO, CA 92025-3079
(760) 975-9939
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
716375
CA
Other
Enumeration date
07/02/2021
Last updated
07/02/2021
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