ELISEO HEREDIA

MODESTO, CA
NPI1821537366
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2017-02-16
Last Update Date2017-02-16
Business Address
-- ELISEO HEREDIA
2524 FINNEY RD
MODESTO, CA 95358-9765
Phone number: 209-550-5858
Mailing Address
-- ELISEO HEREDIA
2524 FINNEY RD
MODESTO, CA 95358-9765
Phone number: 209-550-5858
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