Individual
FELIPE DE JESUS HERNANDEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA
Contact information
Practice address
112 CHILDRENS CIR, SANTA ROSA, CA 95409-6558
(707) 565-6350
(707) 565-6352
Mailing address
112 CHILDRENS CIR, SANTA ROSA, CA 95409-6558
(707) 565-6350
(707) 565-6352
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
06/05/2015
Last updated
07/17/2025
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