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Miguel Angel Hernandez Estrada, LVN

Licensed Vocational Nurse in San Jose, CA. Individual provider (NPI-1).

NPI number1114705779
StatusActive
Last updated in NPPESSep 15, 2023

Details

NPI
1114705779
Entity type
Individual (NPI-1)
Name
Miguel Angel Hernandez Estrada
Credential
LVN
Sex
Male
Sole proprietor
No
Enumeration date
Sep 15, 2023
Certification date
Sep 15, 2023
Last updated
Sep 15, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164X00000X Licensed Vocational Nurse728223CAYes

Practice location

574 W Hedding St
San Jose, CA 95110-1500

Phone 408-613-3671

Mailing address

574 W Hedding St
San Jose, CA 95110-1500

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