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Eddie Hernandez Gonzalez
Family Nurse Practitioner in Victorville, California
NPI 1871234138

Eddie Hernandez Gonzalez is a Family Nurse Practitioner based in Victorville, CA and is specialized in Family. Eddie Hernandez Gonzalez practices in Victorville, CA. The NPI Number for Eddie Hernandez Gonzalez is 1871234138 and holds a License No. 95020273 (California).

The current practice location address for Eddie Hernandez Gonzalez is 12740 Hesperia Rd Ste B, Victorville, CA and can be reached out via phone at 760-713-6969.

Location: 12740 Hesperia Rd Ste B, Victorville, CA, 92395-8306
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871234138
Provider Name
Eddie Hernandez Gonzalez
Credential
Provider Entity Type
Individual
Gender
Male
Address
12740 Hesperia Rd Ste B, Victorville, CA, 92395-8306
Phone Number
760-713-6969
Fax Number
Provider Enumeration Date
04/01/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12740 Hesperia Rd Ste B
City
Victorville
State
California
Zip
92395-8306
Phone Number
760-713-6969
Fax Number
person
Provider Business Mailing Address Details
Address
12740 Hesperia Rd Ste B
City
Victorville
State
California
Zip
92395-8306
Phone Number
760-713-6969
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
95020273 (California)
Definition
Definition to come...
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