Most Relevant Information
Provider Data
| NPI Number: | 1003274911 |
| Provider Name: | DEANNA HERNANDEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/05/2016 |
| Last Updated: | 02/05/2016 |
Provider Practice Location
612 SPRING RD
MOORPARK
CA
930211298
Practice Location Phone/Fax
| Phone: | 8054856114 |
| Fax: |
Provider Mailing Location
612 SPRING RD
MOORPARK
CA
930211298
Provider Mailing Phone/Fax
| Phone: | 8054856114 |
| Fax: |