Individual
MISS ESMERALDA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2050 FAIRMONT DR, SAN LEANDRO, CA 94578-1001
(510) 746-7480
Mailing address
189 DURANT AVE, SAN LEANDRO, CA 94577-1828
(510) 500-2336
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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