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Individual

DOLORES ALICIA HERNANDEZ PEREZ II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RADT1

Contact information

Practice address
8755 AERO DR STE 230, SAN DIEGO, CA 92123-1750
(858) 256-2180
Mailing address
8755 AERO DR STE 230, SAN DIEGO, CA 92123-1750
(858) 256-2180

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
10/15/2019
Last updated
04/17/2025
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