Individual
JOSEPH AARON QUISMONDO HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA HUMAN SERVICES
Contact information
Practice address
2215 BLUE GUM AVE, MODESTO, CA 95358-1052
(209) 525-5401
(209) 525-5498
Mailing address
2215 BLUE GUM AVE, MODESTO, CA 95358-1052
(209) 525-5401
(209) 525-5498
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
04/19/2019
Last updated
04/19/2019
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