Individual
NORMA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17130 DEVONSHIRE ST STE 104A, NORTHRIDGE, CA 91325-1676
(818) 723-6111
Mailing address
17130 DEVONSHIRE ST STE 104A, NORTHRIDGE, CA 91325-1676
(818) 723-6111
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
1417464793
CA
Other
Enumeration date
01/08/2019
Last updated
03/31/2020
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