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Organization
ADVANCED HORMONE REPLACEMENT
Active
Organization
ADVANCED HORMONE REPLACEMENT
Active
Other names
Advanced Hormone Replacement
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL J CORREIA MD (PRESIDENT)
(805) 540-1306
Entity
Organization
Contact information
Practice address
562 CAMINO MERCADO, ARROYO GRANDE, CA 93420-1815
(805) 410-8971
Mailing address
122 PEARWOOD AVE, ARROYO GRANDE, CA 93420-2910
(805) 540-1306
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/19/2023
Last updated
07/25/2023
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