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Individual

ALEJANDRA HERNANDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BS

Contact information

Practice address
7899 MISSION GROVE PKWY S, RIVERSIDE, CA 92508-5088
(951) 776-9223
Mailing address
7899 MISSION GROVE PKWY S, RIVERSIDE, CA 92508-5056

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
172V00000X
Community Health Worker
175T00000X
Peer Specialist
FCDJEU
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
106E
CA
Enumeration date
01/20/2022
Last updated
08/03/2024
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