Hernandez, Gary R

Hernandez, Gary R is an individual health care provider with primary practice located at 14677 Merrill Av. , Fontana CA 92335. He recently has only one registered license in Nursing Service Providers / Licensed Psychiatric Technician, which is considered as his primary health care specialty. Hernandez, Gary R can be contacted via phone (951) 643-2350.

Contact Information

Primary practice address
14677 Merrill Av. Fontana CA 92335
Phone: (951) 643-2350
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Psychiatric Technician 167G00000X PT36206 California

Profile Details

NPI number 1720354426
LBN Legal business name Hernandez, Gary R
Credentials LPT
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2012
Last updated Feb 14th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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