Individual
ADRIAN HURTADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1717 S 11TH ST, LOS BANOS, CA 93635-4800
(209) 827-0120
Mailing address
940 OAK GROVE RD, MODESTO, CA 95351-7811
(209) 581-8814
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95051356
CA
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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