| NPI | 1053053934 |
|---|---|
| Other Name | EDDY DEHERRERA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA C061261876) |
| Enumeration Date | 2022-04-11 |
| Last Update Date | 2022-04-11 |