Individual
ADAM VICTOR HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1300 ETHAN WAY, SUITE 175, SACRAMENTO, CA 95825
(209) 521-4791
Mailing address
3425 COFFEE RD STE C2, MODESTO, CA 95355-1582
(209) 521-4791
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/26/2018
Last updated
11/26/2018
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