Individual
BRYAN HIXSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1280 N QUINCY RD, TURLOCK, CA 95380-2912
(209) 596-1345
Mailing address
1280 N QUINCY RD, TURLOCK, CA 95380-2912
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
25182
CA
Other
Enumeration date
11/18/2022
Last updated
11/18/2022
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