Individual
CONNIE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3244 E GREEN ST, PASADENA, CA 91107-3836
(626) 795-7218
Mailing address
3244 E GREEN ST, PASADENA, CA 91107-3836
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/15/2012
Last updated
05/15/2012
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