JUAN HERNANDEZ

LIVERPOOL, NY
NPI1144483496
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2008-07-08
Last Update Date2008-07-08
Business Address
-- JUAN HERNANDEZ
526 OLD LIVERPOOL RD
LIVERPOOL, NY 13088-6238
Phone number: 315-453-3911
Mailing Address
-- JUAN HERNANDEZ
PO BOX 31094
HARTFORD, CT 06150-1094
Phone number: 518-952-8140
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