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Individual
ADRIAN HERNANDEZ
Active
Individual
ADRIAN HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
H0504110952
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
HO504110952
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95-2843788
—
CA
Enumeration date
05/17/2011
Last updated
05/17/2011
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