Individual
BECKIE ELAINE HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
146 S MONTE VISTA AVE, COVINA, CA 91723-2840
(323) 370-5810
Mailing address
146 S MONTE VISTA AVE, COVINA, CA 91723-2840
(323) 370-5810
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/26/2025
Last updated
03/26/2025
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