Most Relevant Information
Provider Data
| NPI Number: | 1003408931 |
| Provider Name: | ANDREA MICHELLE HERNANDEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/11/2021 |
| Last Updated: | 02/11/2021 |
Provider Practice Location
1212 N CALIFORNIA ST
STOCKTON
CA
952021552
Practice Location Phone/Fax
| Phone: | 2094688686 |
| Fax: |
Provider Mailing Location
1212 N CALIFORNIA ST
STOCKTON
CA
952021552
Provider Mailing Phone/Fax
| Phone: | 2094688686 |
| Fax: |