Andrade Hernandez, Jackie

Andrade Hernandez, Jackie is an individual health care provider with primary practice located at 1212 S 43Rd St Suite C, San Diego CA 92113-3434. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Andrade Hernandez, Jackie can be contacted via phone (619) 263-7768.

Contact Information

Primary practice address
1212 S 43Rd St Suite C San Diego CA 92113-3434
Phone: (619) 263-7768
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1912334707
LBN Legal business name Andrade Hernandez, Jackie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2013
Last updated Oct 11th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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