Individual
MR. ALFREDO HERNANDEZ MONREAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
47940 ARABIA ST, INDIO, CA 92201-6828
(760) 863-8415
(760) 863-7785
Mailing address
47940 ARABIA ST, INDIO, CA 92201-6828
(760) 863-8415
(760) 863-7785
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D8408149
DMV
CA
Enumeration date
06/05/2018
Last updated
06/05/2018
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