Individual
ALICIA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
129 E CENTER ST, MANTECA, CA 95336-4648
(209) 239-5553
Mailing address
129 E CENTER ST STE 3, MANTECA, CA 95336-4648
(209) 239-5553
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/25/2020
Last updated
03/05/2026
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