NPI | 1194399493 |
---|---|
Professional Name | TRICIA HERNANDEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management (Licence: CA KK275336) |
Additional Taxonomies | 224P00000X Prosthetist |
332B00000X Durable Medical Equipment & Medical Supplies | |
335E00000X Prosthetic/Orthotic Supplier | |
Enumeration Date | 2021-05-20 |
Last Update Date | 2023-01-23 |