Individual
AMANDA NICOLE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
405 W 5TH ST, SANTA ANA, CA 92701-4599
(562) 310-4025
Mailing address
4000 W METROPOLITAN DR, ORANGE, CA 92868-3504
(714) 935-6117
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
92992
CA
Other
Enumeration date
09/16/2024
Last updated
09/25/2024
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