Individual
STACIE HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
709 ALTA VISTA AVE, CORONA, CA 92882-4251
(951) 808-7109
Mailing address
709 ALTA VISTA AVE, CORONA, CA 92882-4251
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
03/15/2015
Last updated
03/15/2015
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