Individual
HEIDI HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1690 W SHAW AVE, FRESNO, CA 93711-3516
(559) 334-6442
Mailing address
4561 E WASHINGTON AVE, FRESNO, CA 93702-2440
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/16/2022
Last updated
09/14/2023
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