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Organization
PRODIGY HEALTHCARE INC.
Active
Organization
PRODIGY HEALTHCARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAGDIP DHANDA (CEO)
(559) 892-9452
Entity
Organization
Contact information
Practice address
3125 WRIGHT ST, SELMA, CA 93662-2429
(559) 892-9452
Mailing address
311 E MERCED ST, FOWLER, CA 93625-2316
(559) 892-9452
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CA
Other
Enumeration date
10/11/2017
Last updated
03/17/2018
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