Provider Demographics
NPI:1497554331
Name:HERNANDEZ GARCIA, LESLIE JOCELYN
Entity type:Individual
Prefix:
First Name:LESLIE
Middle Name:JOCELYN
Last Name:HERNANDEZ GARCIA
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 1:26 MONTANA DR
Mailing Address - Street 2:
Mailing Address - City:OLIVEHURST
Mailing Address - State:CA
Mailing Address - Zip Code:95961-7409
Mailing Address - Country:US
Mailing Address - Phone:530-599-2648
Mailing Address - Fax:
Practice Address - Street 1:139 WILSON AVE
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-5925
Practice Address - Country:US
Practice Address - Phone:530-821-8854
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-12
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program