DA HER

STOCKTON, CA
NPI1285797514
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QM2800X Clinic/Center, Methadone Clinic
Enumeration Date2006-12-18
Last Update Date2007-07-08
Business Address
Mr. DA HER
1111 N EL DORADO ST
STOCKTON, CA 95202-1305
Phone number: 209-938-0228
Mailing Address
Mr. DA HER
1456 MANIAGO DR
STOCKTON, CA 95206-3882
Phone number: 209-298-0887
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