Individual
JOSUE BERNAL HUERTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 S MERCEY SPRINGS RD, LOS BANOS, CA 93635-4928
(209) 710-1013
Mailing address
305 BANNER CT, MODESTO, CA 95356-9261
(209) 710-1013
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
52957
CA
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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