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Individual

MR. BRYAN G HERFURTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3727 MARCONI AVE, SACRAMENTO, CA 95821-5303
(916) 485-6500
Mailing address
6692 MERCHANDISE WAY STE B, DIAMOND SPRINGS, CA 95619-9453
(530) 626-2589

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CA
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
09/28/2010
Last updated
10/06/2020
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