Individual
JO ANN HERNANDEZ POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1207 E FRUIT ST, SANTA ANA, CA 92701-4206
(714) 953-9373
Mailing address
265 S ANITA DR STE 201, ORANGE, CA 92868-3346
(714) 410-3505
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
16458
CA
Other
Enumeration date
06/22/2016
Last updated
03/30/2022
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