Individual
ANGEL J HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
41551 DATE ST, MURRIETA, CA 92562-7086
(951) 465-3664
Mailing address
41551 DATE ST, MURRIETA, CA 92562-7086
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
106S00000X
Behavior Technician
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/15/2023
Last updated
09/03/2024
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