Individual
ANGELICA KRISTIN HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12188 HESPERIA RD, VICTORVILLE, CA 92395-5822
(760) 477-2199
Mailing address
12188 HESPERIA RD, VICTORVILLE, CA 92395-5822
(760) 477-2199
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/09/2021
Last updated
03/13/2024
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