Provider Demographics
NPI:1225850829
Name:HERNANDEZ, ASHLEY DEBBIE
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:DEBBIE
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3012 SUNRISE AVE
Mailing Address - Street 2:
Mailing Address - City:MARINA
Mailing Address - State:CA
Mailing Address - Zip Code:93933-4017
Mailing Address - Country:US
Mailing Address - Phone:831-601-0930
Mailing Address - Fax:
Practice Address - Street 1:1011 CASS ST STE 102E
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-4531
Practice Address - Country:US
Practice Address - Phone:831-601-0930
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-26
Last Update Date:2024-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other