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Individual

ADELA MARIA HERNANDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1733 EUCLID AVE, SAN DIEGO, CA 92105-5414
(619) 263-0433
(619) 263-3992
Mailing address
1733 EUCLID AVE, SAN DIEGO, CA 92105-5414
(619) 263-0433
(619) 263-3992

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
550001697
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
953389108
CA
Enumeration date
04/18/2017
Last updated
04/18/2017
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