Organization
PETE HERRON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETE HERRON (MFTI)
(209) 558-8145
Entity
Organization
Contact information
Practice address
1812 LAUREL OAK DR, MODESTO, CA 95354-1625
(209) 558-8145
Mailing address
1812 LAUREL OAK DR, MODESTO, CA 95354-1625
(209) 558-8145
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
1234567
CA
Other
Enumeration date
03/05/2007
Last updated
08/22/2020
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