Individual
ANDREA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1260 E ARROW HWY BLDG E, UPLAND, CA 91786-4984
(909) 932-1069
(909) 932-1087
Mailing address
24550 E LITTLE THIRD ST, SAN BERNARDINO, CA 92410-4936
(909) 413-7705
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
42786
CA
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
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