Individual
ANITA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
506 W JACKMAN ST, LANCASTER, CA 93534-2531
(661) 726-2850
Mailing address
1028 STEPHANIE CT, LANCASTER, CA 93535-4888
(661) 733-6567
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
NA
—
172V00000X
Community Health Worker
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
03/23/2007
Last updated
04/30/2025
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