Individual
JENNIFER HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
620 OLIVE AVE, LONG BEACH, CA 90802-1546
(562) 435-4496
Mailing address
1130 E 1ST ST UNIT 203, LONG BEACH, CA 90802-6526
(818) 581-6044
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/03/2021
Last updated
02/03/2021
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