Individual
BREANNA ALYSSA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1774 ZONAL AVE BLDG B, LOS ANGELES, CA 90033-1064
(310) 221-6377
Mailing address
1774 ZONAL AVE BLDG B, LOS ANGELES, CA 90033-1064
(310) 221-6377
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ACSW106848
CA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3434247
—
MI
Enumeration date
01/20/2021
Last updated
03/25/2025
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