JOSE LUIS HERNANDEZ

STOCKTON, CA
NPI1346028594
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-09-19
Last Update Date2023-09-19
Business Address
JOSE LUIS HERNANDEZ
102 W BIANCHI RD
STOCKTON, CA 95207-7132
Phone number: 209-451-3628
Mailing Address
JOSE LUIS HERNANDEZ
102 W BIANCHI RD
STOCKTON, CA 95207-7132
Phone number: 209-451-3628
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