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Mr. Da Her
Methadone Clinic in Stockton, California
NPI 1285797514

Da Her is a Methadone Clinic based in Stockton, CA and is specialized in Methadone. Da Her practices in Stockton, CA. The NPI Number for Da Her is 1285797514 and holds a License No. (California).

The current practice location address for Da Her is 1111 N El Dorado St, Stockton, CA and can be reached out via phone at 209-938-0228 and via fax at 209-938-0281.

Location: 1111 N El Dorado St, Stockton, CA, 95206-3882
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285797514
Provider Name
Da Her
Credential
Provider Entity Type
Individual
Gender
Male
Address
1111 N El Dorado St, Stockton, CA, 95206-3882
Phone Number
209-938-0228
Fax Number
209-938-0281
Provider Enumeration Date
12/18/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1111 N El Dorado St
City
Stockton
State
California
Zip
95202-1305
Phone Number
209-938-0228
Fax Number
209-938-0281
person
Provider Business Mailing Address Details
Address
1111 N El Dorado St
City
Stockton
State
California
Zip
95202-1305
Phone Number
209-938-0228
Fax Number
209-938-0281
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
261QM2800X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
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