Individual
MR. ANGEL HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
558 N TOWNE AVE, POMONA, CA 91767-4826
(909) 622-2273
Mailing address
558 N TOWNE AVE, POMONA, CA 91767-4826
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/01/2011
Last updated
01/01/2011
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