Individual
MISS JESSICA MICHELLE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
655 MAPLE AVE, LOS ANGELES, CA 90014-2211
(626) 756-2329
Mailing address
2116 ARLINGTON AVE STE 100, LOS ANGELES, CA 90018-1300
(323) 334-9000
(323) 334-4437
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW125231
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/09/2023
Last updated
08/27/2024
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