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1760229223
LISA VANESSA HERNANDEZ
RIVERSIDE, CA
NPI
1760229223
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 11330)
Enumeration Date
2024-07-11
Last Update Date
2024-08-30
Business Address
LISA VANESSA HERNANDEZ SUDCCII
3525 PRESLEY AVE
RIVERSIDE, CA 92507-4453
Phone number: 951-630-1087
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Mailing Address
LISA VANESSA HERNANDEZ SUDCCII
3525 PRESLEY AVE
RIVERSIDE, CA 92507-4453
Phone number:
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