Individual
ALEXANDER HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14, 34101 FARENHOLT AVE, SAN DIEGO, CA 92134-0001
(619) 532-7968
Mailing address
1589 BLACK EAGLE DR, SAN DIEGO, CA 92126-7108
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
01/27/2018
Last updated
01/27/2018
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