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Individual

ADRIAN HERNANDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5409 CHIQUITA LN, SAN BERNARDINO, CA 92404-2871
(909) 327-1192
Mailing address
5409 CHIQUITA LN, SAN BERNARDINO, CA 92404-2871
(909) 327-1192

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
H0504110952
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
HO504110952
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
95-2843788
CA
Enumeration date
05/17/2011
Last updated
05/17/2011
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