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1568988657
JAIME HERNANDEZ
SANTA MONICA, CA
NPI
1568988657
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA RI-H1310020659)
Enumeration Date
2017-08-21
Last Update Date
2018-03-17
Business Address
JAIME HERNANDEZ AOD
907 PICO BLVD
SANTA MONICA, CA 90405-1326
Phone number: 310-314-6200
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Mailing Address
JAIME HERNANDEZ AOD
768 BRADSHAWE ST
MONTEBELLO, CA 90640-1504
Phone number: 323-399-8523
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