Individual
AUDREY MAE SANTOS HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
769 W BLAINE ST STE B, RIVERSIDE, CA 92507-3970
(951) 358-4705
Mailing address
2420 RIVER RD STE 230624, NORCO, CA 92860-2268
(562) 217-8756
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
108548
CA
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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