Individual
CARMINA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31946 MISSION TRL STE B, LAKE ELSINORE, CA 92530-4539
(951) 245-7663
Mailing address
31946 MISSION TRL STE B, LAKE ELSINORE, CA 92530-4539
(951) 245-7663
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/14/2014
Last updated
10/14/2014
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