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BLANCA PATRICIA HERNANDEZ

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1558877852

Individual Registrant:
 BLANCA PATRICIA HERNANDEZ 
Gender: F
Sole Proprietor

Location and contact information for practice:
15161 JACKSON ST  MIDWAY CITY, CA 92655-1432 US
Tel: 562-309-3689  Fax: --

Contact information for business:
15161 JACKSON ST  MIDWAY CITY, CA 92655-1432 US
Tel: --  Fax: --

Registration Information:
NPI: 1558877852
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
1041C0700CA05




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