Individual
GENEVIE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4590 ALLSTATE DR, RIVERSIDE, CA 92501-1702
(909) 599-1227
Mailing address
4590 ALLSTATE DR, RIVERSIDE, CA 92501-1702
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
115352
CA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/16/2019
Last updated
08/18/2023
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