Individual
TERESA HERNANDEZ VILLALOBOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
121 DOWNEY AVE, MODESTO, CA 95354-1208
(209) 341-1824
Mailing address
2550 N HOLLYWOOD WAY STE 102, BURBANK, CA 91505-5031
(866) 727-8274
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
MPSS-JAOTZV
CA
Other
Enumeration date
04/05/2022
Last updated
04/23/2025
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