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Individual

AGUSTIN HERNANDEZ SALAZAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RADT

Contact information

Practice address
1889 W REDLANDS BLVD, REDLANDS, CA 92373-3119
(909) 501-5167
Mailing address
475 E CYPRESS AVE APT 200, REDLANDS, CA 92373-6112
(530) 650-7638

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
04/15/2019
Last updated
04/15/2019
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