STACY D HERNANDEZ

TUSTIN, CA
NPI1568281228
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  49723)
Enumeration Date2024-10-08
Last Update Date2024-10-08
Business Address
STACY D HERNANDEZ
17542 17TH ST STE 300
TUSTIN, CA 92780-1960
Phone number: 714-734-4500
Mailing Address
STACY D HERNANDEZ
988 S CITRON ST
ANAHEIM, CA 92805-5575
Phone number: 562-805-7293