Individual
ELIZABETH CORINE HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
131 N TUSTIN AVE STE 100, TUSTIN, CA 92780-2937
(657) 205-6301
Mailing address
131 N TUSTIN AVE STE 100, TUSTIN, CA 92780-2937
(657) 205-6301
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-ACJRHW
CA
Other
Enumeration date
06/16/2026
Last updated
06/16/2026
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