Connie Hermogeno FNP

NPI 1124286018 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1124286018
Gender Female
Enumeration Date 05/28/2008
Last Updated 05/28/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
1701 CESAR CHAVEZ SUITE 354
LOS ANGELES CA, 90033, US
Phone (323) 221-5366
Fax (323) 221-5473
Business Location
1701 CESAR CHAVEZ SUITE 354
LOS ANGELES CA, 90033, US
Phone (323) 221-5366
Fax (323) 221-5473
Toxanomy
Taxonomy Code 363LF0000X
License State California
License Number 17453
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According to our database, Connie Hermogeno FNP NPI is 1124286018, taxonomy code is 363LF0000X and license number is 17453, license state is located at California. Connie Hermogeno FNP physically located at 1701 Cesar Chavez Suite 354, Los Angeles CA, 90033. NPI Number Connie Hermogeno FNP has the Individual type.

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1124286018 NPI number is provided on an as is basis without warranty of any kind. 1124286018 is maintained by the National Plan & Provider Enumeration System. The contents of Connie Hermogeno FNP are for informational purposes only.