Individual
JOSE CARLOS HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
102 WHEELOCK RD, WATSONVILLE, CA 95076-9719
(831) 768-0941
Mailing address
102 WHEELOCK RD, WATSONVILLE, CA 95076-9719
(831) 768-0941
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
172V00000X
Community Health Worker
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
09/12/2017
Last updated
04/25/2025
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