MIGUEL HERNANDEZ

UKIAH, CA
NPI1629519384
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2017-03-14
Last Update Date2017-03-14
Business Address
MIGUEL HERNANDEZ
1120 S DORA ST
UKIAH, CA 95482-6340
Phone number: 707-472-2637
Mailing Address
MIGUEL HERNANDEZ
1120 S DORA ST
UKIAH, CA 95482-6340
Phone number:
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