Individual
MARISSA YESENIA MOISA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44505 90TH ST W, LANCASTER, CA 93536-7705
(661) 992-9424
Mailing address
44205 HONEYBEE LN, LANCASTER, CA 93536-7129
(661) 992-9424
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-QUOEZY
CA
Other
Enumeration date
08/22/2022
Last updated
04/30/2025
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