Individual
JOSE EMILIANO SIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11517 15TH AVE, LEMOORE, CA 93245-9508
(559) 380-0800
Mailing address
311 N DOUTY ST, HANFORD, CA 93230-3951
(559) 583-9300
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/23/2024
Last updated
08/23/2024
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