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1639689607
THOMAS R HERNANDEZ
LOS ANGELES, CA
NPI
1639689607
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1237960916)
Enumeration Date
2017-10-04
Last Update Date
2022-09-28
Business Address
THOMAS R HERNANDEZ RADT
4445 BURNS AVE
LOS ANGELES, CA 90029-2702
Phone number: 323-222-1440
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Mailing Address
THOMAS R HERNANDEZ RADT
4445 BURNS AVE
LOS ANGELES, CA 90029-2702
Phone number: 323-222-1440
Copy
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