JORGE HUERTA

SAN LUIS OBISPO, CA
NPI1558197921
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Additional Taxonomies175T00000X Peer Specialist
Enumeration Date2024-09-11
Last Update Date2024-11-11
Business Address
JORGE HUERTA
784 HIGH ST
SAN LUIS OBISPO, CA 93401-5243
Phone number: 805-801-1996
Mailing Address
JORGE HUERTA
784 HIGH ST
SAN LUIS OBISPO, CA 93401-5243
Phone number: 805-801-1996