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Individual

DEANETTE P HERNANDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
43575 MILAN CT, LA QUINTA, CA 92253-7909
(760) 534-9464
Mailing address
43575 MILAN CT, LA QUINTA, CA 92253-7909
(760) 534-9464

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CA
225400000X
Rehabilitation Practitioner
Primary
CA

Other

Enumeration date
02/04/2026
Last updated
02/19/2026
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