Provider Demographics
NPI:1477854321
Name:HERNANDEZ, SILVIA ISEL (RPH)
Entity Type:Individual
Prefix:
First Name:SILVIA
Middle Name:ISEL
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3540 MT DIABLO BLVD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CA
Mailing Address - Zip Code:94549-3814
Mailing Address - Country:US
Mailing Address - Phone:925-284-1550
Mailing Address - Fax:925-284-9202
Practice Address - Street 1:3540 MT DIABLO BLVD
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CA
Practice Address - Zip Code:94549-3814
Practice Address - Country:US
Practice Address - Phone:925-284-1550
Practice Address - Fax:925-284-9202
Is Sole Proprietor?:No
Enumeration Date:2010-11-09
Last Update Date:2010-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA45233183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist