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1679121321
JOHNATHAN HERNANDEZ
ANAHEIM, CA
NPI
1679121321
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor Mental Health
Enumeration Date
2019-08-27
Last Update Date
2020-04-23
Business Address
JOHNATHAN HERNANDEZ
1360 S ANAHEIM BLVD STE 101
ANAHEIM, CA 92805-6205
Phone number: 714-788-0576
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Mailing Address
JOHNATHAN HERNANDEZ
1360 S ANAHEIM BLVD STE 101
ANAHEIM, CA 92805-6205
Phone number:
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