Individual
ANDREA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1885 LUNDY AVE STE 223, SAN JOSE, CA 95131-1888
(408) 816-6174
Mailing address
1885 LUNDY AVE STE 223, SAN JOSE, CA 95131-1888
(408) 284-9000
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
41670
CA
Other
Enumeration date
05/27/2020
Last updated
02/19/2021
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