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1053006478
AMANDA DIANE HERNANDEZ
RIVERSIDE, CA
NPI
1053006478
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1444130921)
Enumeration Date
2023-04-11
Last Update Date
2023-04-11
Business Address
AMANDA DIANE HERNANDEZ RADT #R1444130921
1021 W LA CADENA DR
RIVERSIDE, CA 92501-1413
Phone number: 951-784-8010
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Mailing Address
AMANDA DIANE HERNANDEZ RADT #R1444130921
1021 W LA CADENA DR
RIVERSIDE, CA 92501-1413
Phone number: 951-784-8010
Copy
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