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1700133881
VIVIANA HERNANDEZ
FRESNO, CA
NPI
1700133881
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-08-08
Last Update Date
2012-08-08
Business Address
-- VIVIANA HERNANDEZ
3435 W SHAW AVE
FRESNO, CA 93711-3234
Phone number: 559-275-1784
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Mailing Address
-- VIVIANA HERNANDEZ
3435 W SHAW AVE
FRESNO, CA 93711-3234
Phone number: 559-275-1784
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