Individual
AMANDA POPOCA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2495 W MARCH LN STE 125, STOCKTON, CA 95207-8224
(209) 465-1080
(209) 465-2709
Mailing address
2495 W MARCH LN STE 125, STOCKTON, CA 95207-8224
(209) 465-1080
(209) 465-2709
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
06/10/2021
Last updated
09/23/2025
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