MARK ANTHONY HERNANDEZ

FAIRFIELD, CA
NPI1003536384
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2022-08-29
Last Update Date2022-08-29
Business Address
MARK ANTHONY HERNANDEZ
1143 MISSOURI ST
FAIRFIELD, CA 94533-6007
Phone number: 707-435-9911
Mailing Address
MARK ANTHONY HERNANDEZ
1143 MISSOURI ST
FAIRFIELD, CA 94533-6007
Phone number:
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