Individual
NATASHA ASHLEY HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1414 N CALIFORNIA ST, STOCKTON, CA 95202-1515
(209) 468-8709
Mailing address
8859 S PRIEST RD, FRENCH CAMP, CA 95231-9706
(866) 206-2008
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
MPSS-KAQBSG
CA
Other
Enumeration date
07/13/2021
Last updated
02/16/2024
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