Individual
JESSE DONATO HUICOCHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11979 WELBY PL, MORENO VALLEY, CA 92557-6436
(909) 450-4092
Mailing address
11979 WELBY PL, MORENO VALLEY, CA 92557-6436
(909) 450-4092
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
10/14/2022
Last updated
10/14/2022
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