Individual
PALOMA HERNANDEZ AGANAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
251 LLEWELLYN AVE, CAMPBELL, CA 95008-1940
(408) 379-3790
Mailing address
2763 CABRILLO AVE, SANTA CLARA, CA 95051-2322
(408) 513-7679
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
40425
CA
Other
Enumeration date
01/27/2021
Last updated
01/27/2021
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