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Individual

ANTONIO CARLOS HERNANDEZ RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ASW

Contact information

Practice address
5160 FEDERAL BLVD, SAN DIEGO, CA 92105-5429
(619) 515-2454
Mailing address
823 GATEWAY CENTER WAY, SAN DIEGO, CA 92102-4541
(619) 515-2300

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
102101
CA

Other

Enumeration date
06/23/2022
Last updated
06/23/2022
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