DAGOBERTO HEREDIA

LAWRENCE, KS
NPI1558395467
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: KS  08-00268)
Enumeration Date2006-07-10
Last Update Date2022-07-21
Business Address
DAGOBERTO HEREDIA
346 MAINE ST STE 150
LAWRENCE, KS 66044-1393
Phone number: 785-841-7297
Mailing Address
DAGOBERTO HEREDIA
120 W 8TH ST
ONAGA, KS 66521-9574
Phone number: 785-841-7297