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Individual

CHARLENE HERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
590 TOYANZA DRIVE, SAN ANDREAS, CA 95249-9713
(951) 543-0031
Mailing address
8270 MARLETTE ST, MOKELUMNE HILL, CA 95245-9468

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
171M00000X
Case Manager/Care Coordinator
225400000X
Rehabilitation Practitioner
Primary
CA

Other

Enumeration date
06/03/2015
Last updated
03/19/2026
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