Individual provider · Type 1 NPI
Rudy John Hernandez Jr.
Adult Psychiatric/Mental Health Registered Nurse · Crestline, CA
NPI number
1124876800
Active
Practice location
PO Box 1382
Crestline, CA 92325-1382
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse Primary | 163WP0809X | 95044697 (CA) |
Adult Psychiatric/Mental Health Registered Nurse: Definition to come...
About NPI 1124876800
Rudy John Hernandez Jr.'s National Provider Identifier is 1124876800, issued on May 8, 2024. The primary taxonomy on file is Adult Psychiatric/Mental Health Registered Nurse (163WP0809X), and the practice location is in Crestline, CA. The record was last updated on May 8, 2024.