Individual
DUEWING HARDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15490 CIVIC DR STE 103, VICTORVILLE, CA 92392-2382
(442) 327-9172
Mailing address
15490 CIVIC DR STE 103, VICTORVILLE, CA 92392-2382
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/29/2020
Last updated
11/20/2024
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