ANGEL HEREDIA

SAN JOSE, CA
NPI1417525056
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2021-06-10
Last Update Date2025-06-30
Business Address
ANGEL HEREDIA
425 E SANTA CLARA ST
SAN JOSE, CA 95113-1936
Phone number: 408-800-4095
Mailing Address
ANGEL HEREDIA
425 E. TAYLOR STREET
SAN JOSE, CA 95113
Phone number: 408-800-4095
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