DEREK ANTHONY HERNANDEZ

MODESTO, CA
NPI1659190395
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2024-10-09
Last Update Date2024-10-09
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