ELISEO ANTONIO HEREDIA

MODESTO, CA
NPI1821537366
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2017-02-16
Last Update Date2024-12-02
Business Address
ELISEO ANTONIO HEREDIA
1539 MCHENRY AVE
MODESTO, CA 95350-4528
Phone number: 209-758-0825
Mailing Address
ELISEO ANTONIO HEREDIA
3433 W SHAW AVE STE 108
FRESNO, CA 93711-3229
Phone number: 559-558-4051
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