BRENT KORNISH

MODESTO, CA
NPI1578939872
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2015-08-20
Last Update Date2015-08-20
Business Address
-- BRENT KORNISH
1225 OAKDALE RD
MODESTO, CA 95355-3357
Phone number: 209-557-6200
Mailing Address
-- BRENT KORNISH
1225 OAKDALE RD
MODESTO, CA 95355-3357
Phone number: 209-557-6200
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