Individual
MARIBEL HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1414 N CALIFORNIA ST FL 2, STOCKTON, CA 95202-1515
(209) 468-2385
Mailing address
1414 N CALIFORNIA ST FL 2, STOCKTON, CA 95202-1515
(209) 468-2385
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
CA
175T00000X
Peer Specialist
Primary
MPSS-PNZQAW
CA
Other
Enumeration date
05/24/2022
Last updated
07/27/2023
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