Individual
GENISIS CORAZON HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
251 LLEWELLYN AVE, CAMPBELL, CA 95008-1940
(408) 379-3790
Mailing address
1510 FASHION ISLAND BLVD STE 310, SAN MATEO, CA 94404-1587
(650) 832-6900
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
01/04/2020
Last updated
01/09/2026
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