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1558135905
MARISSA HERNANDEZ
LOS ANGELES, CA
NPI
1558135905
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Other Name
MARISSA HERNANDEZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-11-07
Last Update Date
2023-11-07
Business Address
MARISSA HERNANDEZ
2330 BEVERLY BLVD
LOS ANGELES, CA 90057-2220
Phone number: 323-426-1330
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Mailing Address
MARISSA HERNANDEZ
2330 BEVERLY BLVD
LOS ANGELES, CA 90057-2220
Phone number: 323-426-1330
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