GARY R HERNANDEZ

FONTANA, CA
NPI1720354426
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  PT36206)
Enumeration Date2012-03-27
Last Update Date2019-02-14
Business Address
GARY R HERNANDEZ LPT
14677 MERRILL AV.
FONTANA, CA 92335
Phone number: 951-643-2350
Mailing Address
GARY R HERNANDEZ LPT
2020 IOWA AVE STE 101
RIVERSIDE, CA 92507-0520
Phone number: 951-235-4055
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