Individual
IRENE HERMOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 E 13TH ST, MERCED, CA 95341-6211
(209) 381-6800
Mailing address
121 DOWNEY AVE, MODESTO, CA 95354-1208
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
112136
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/04/2021
Last updated
03/14/2024
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