Charlene Hernandez
Rehabilitation Practitioner in San Andreas, CA. Individual provider (NPI-1).
NPI number1508246794
StatusActive
Last updated in NPPESMar 19, 2026
Details
- NPI
- 1508246794
- Entity type
- Individual (NPI-1)
- Name
- Charlene Hernandez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 3, 2015
- Certification date
- Mar 19, 2026
- Last updated
- Mar 19, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | CA | Yes |
| 103K00000X | Behavior Analyst | – | – | |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
590 Toyanza DriveSan Andreas, CA 95249-9713
Phone 951-543-0031
Mailing address
8270 Marlette StMokelumne Hill, CA 95245-9468
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Other Rehabilitation Practitioner providers in San Andreas, CA
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All 22 Rehabilitation Practitioner providers in San Andreas · All 276 providers in San Andreas
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