Individual
WENDY XIOMARA HERNANDEZ ORELLANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11600 ELDRIDGE AVE, LAKE VIEW TERRACE, CA 91342-6506
(661) 361-6130
Mailing address
11600 ELDRIDGE AVE, LAKE VIEW TERRACE, CA 91342-6506
(661) 361-6130
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
MPSS-WKGYTO
CA
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
03/28/2008
Last updated
07/26/2024
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