Individual
MRS. BABLINE HURTADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PEER SUPPORT TRAINEE
Contact information
Practice address
44199 MONROE ST, INDIO, CA 92201-3096
(760) 863-8455
Mailing address
2080 S E ST, SAN BERNARDINO, CA 92408-2773
(909) 388-9191
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
MPSS-UYOKCB
CA
175T00000X
Peer Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760651178
—
CA
Enumeration date
05/11/2015
Last updated
10/23/2024
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