Individual
JESSICA K HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12821 VICTORY BLVD, NORTH HOLLYWOOD, CA 91606-3012
(323) 937-5930
Mailing address
823 N ROWAN AVE, LOS ANGELES, CA 90063-3817
(323) 363-4363
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
CA
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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