Ivan Herrera Hernandez
Ivan Herrera Hernandez is a Licensed Psychiatric Technician in Stockton, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2017
Practice location Address checks out
1212 N California StStockton, CA 95202-1552
Phone: (209) 280-5923
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Licensed Psychiatric Technician (primary) | Taxonomy 167G00000X · Licence 40627 (CA) |
|---|
Record details
| NPI number | 1306358064 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 2, 2017 |
| Last updated in NPPES | November 2, 2017 |
| Mailing address | 1212 N California St, Stockton, CA 95202-1552 |
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