Individual
ELSA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8788 JAMACHA RD, SPRING VALLEY, CA 91977-4035
(619) 515-2354
(619) 589-2812
Mailing address
8788 JAMACHA RD, SPRING VALLEY, CA 91977-4035
(619) 515-2354
(619) 589-2812
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
CA
Other
Enumeration date
11/08/2007
Last updated
11/08/2007
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