| NPI | 1356905772 |
|---|---|
| Professional Name | JASON HERMOSILLO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: CO 187482) |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2019-05-01 |