Individual
MR. BRUNO HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13333 PALMDALE RD, VICTORVILLE, CA 92392-9364
(760) 952-9192
(760) 241-8911
Mailing address
13333 PALMDALE ROAD, VICTORVILLE, CA 92392
(760) 952-9192
(760) 241-8911
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11555
CA
Other
Enumeration date
02/02/2012
Last updated
02/02/2012
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