IVAN HERRERA HERNANDEZ

STOCKTON, CA
NPI1306358064
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  40627)
Enumeration Date2017-11-02
Last Update Date2017-11-02
Business Address
IVAN HERRERA HERNANDEZ
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-280-5923
Mailing Address
IVAN HERRERA HERNANDEZ
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-280-5923
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