Most Relevant Information
Provider Data
| NPI Number: | 1003210410 |
| Provider Name: | CARMINA HERNANDEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/14/2014 |
| Last Updated: | 10/14/2014 |
Provider Practice Location
31946 MISSION TRL STE B
LAKE ELSINORE
CA
925304539
Practice Location Phone/Fax
| Phone: | 9512457663 |
| Fax: |
Provider Mailing Location
31946 MISSION TRL STE B
LAKE ELSINORE
CA
925304539
Provider Mailing Phone/Fax
| Phone: | 9512457663 |
| Fax: |