Individual
BRENDA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
36 S KINNELOA AVE STE 200, PASADENA, CA 91107-3853
(626) 844-3033
Mailing address
36 S KINNELOA AVE STE 200, PASADENA, CA 91107-3853
(626) 844-3033
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/27/2011
Last updated
12/27/2011
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