HERMAN FUQUA

VICTORVILLE, CA
NPI1275722860
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2007-10-18
Last Update Date2007-10-18
Business Address
-- HERMAN FUQUA
16460 VICTOR ST
VICTORVILLE, CA 92395-3918
Phone number: 760-245-8837
Mailing Address
-- HERMAN FUQUA
16460 VICTOR ST
VICTORVILLE, CA 92395-3918
Phone number: 760-245-8837