Madeline Renee Hernandez

NPI #1023892049 in Grand Terrace, California

Provider Information

NPI Number: 1023892049
Entity Type: Individual
Name: Madeline Renee Hernandez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Aug 21, 2023
Last Updated: Aug 21, 2023

Practice Location

Address: 22862 LA PAIX ST
City: Grand Terrace
State: California
ZIP Code: 92313-5510
Phone: (909) 213-2237

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X

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