Provider Information for 1184858698
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Ms. VANESSA ROSE HERNANDEZ M.A.
Sex: Female
NPI: 1184858698
Last Updated: 2025-02-25
Certification Date: 2025-02-25
Certification Date: 2025-02-25
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1184858698 | ||||||||
| Enumeration Date | 2009-05-12 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 661 W 1ST ST STE G TUSTIN, CA 92780-2939 United States Phone: 714-665-9890 | Fax:714-665-9891 | ||||||||
| Primary Practice Address | 661 W 1ST ST STE G TUSTIN, CA 92780-2939 United States Phone: 714-665-9890 | Fax:714-665-9891 | ||||||||
| Secondary Practice Address(es) | 9918 KATELLA AVE STE A-C 11180 WARNER AVE STE 353 | ||||||||
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