Individual
MS. JANELLE MARIE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RECREATION THERAPIST
Contact information
Practice address
2008 MORSE AVE, SACRAMENTO, CA 95825-2135
(916) 973-7480
Mailing address
3300 CAPITAL CENTER DRIVE, 240, RANCHO CORDOVA, CA 95670
(209) 756-3253
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
69475
CA
Other
Enumeration date
08/18/2017
Last updated
08/18/2017
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