Organization
SUPPLEMENTAL HEALTH CARE
Active
Other names
supplemental Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIE GARCIA HERNANDEZ-DUARTE PTA (PHYSICAL THERAPIST ASSISTANT)
(559) 313-4012
Entity
Organization
Contact information
Practice address
5099 W CORTLAND AVE, FRESNO, CA 93722-9773
(559) 313-4012
Mailing address
5099 W. CORTLAND AVENUE, FRESNO, CA 93722
(559) 313-4012
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
AT2741
CA
Other
Enumeration date
09/12/2013
Last updated
09/12/2013
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