Individual
DIANA SUZANA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
506 W GRAHAM AVE, LAKE ELSINORE, CA 92530-3666
(951) 457-3538
Mailing address
506 W GRAHAM AVE, LAKE ELSINORE, CA 92530-3666
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/06/2025
Last updated
02/06/2025
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