Most Relevant Information
Provider Data
| NPI Number: | 1003464090 |
| Provider Name: | PRISCILLA ELENA HERNANDEZ R1352450619 |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | R1352450619 |
Most Important Dates
| Enumeration Date: | 09/03/2019 |
| Last Updated: | 11/09/2023 |
Provider Practice Location
11227 VALLEY BLVD STE 100
EL MONTE
CA
917313299
Practice Location Phone/Fax
| Phone: | 6264440705 |
| Fax: |
Provider Mailing Location
11227 VALLEY BLVD STE 100
EL MONTE
CA
917313299
Provider Mailing Phone/Fax
| Phone: | 6264440705 |
| Fax: |