Individual
ZULEMA Y CANAAN HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
66 HURLBUT ST, PASADENA, CA 91105-4025
(626) 776-4708
Mailing address
66 HURLBUT ST, PASADENA, CA 91105-4025
(626) 776-4708
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
42626
CA
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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