FRANK SHANE HERNANDEZ

DENVER, CO
NPI1336405638
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO  6509)
Enumeration Date2012-04-11
Last Update Date2012-04-11
Business Address
-- FRANK SHANE HERNANDEZ CACIII
777 BANNOCK ST UNIT 9
DENVER, CO 80204-4507
Phone number: 303-436-6392
Mailing Address
-- FRANK SHANE HERNANDEZ CACIII
777 BANNOCK ST UNIT 9
DENVER, CO 80204-4507
Phone number: 303-436-6392
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