DEREK ANTHONY HERNANDEZ

MODESTO, CA
NPI1659190395
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy372600000X Adult Companion
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2024-10-09
Last Update Date2025-05-15
Business Address
DEREK ANTHONY HERNANDEZ
121 DOWNEY AVE
MODESTO, CA 95354-1208
Phone number: 209-341-1824
Mailing Address
DEREK ANTHONY HERNANDEZ
121 DOWNEY AVE
MODESTO, CA 95354-1208
Phone number: 209-341-1824
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