Hadi Koesnodihardjo

NPI 1073735700 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1073735700
Gender Male
Enumeration Date 05/03/2007
Last Updated 10/01/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
1161 CHERRY ST
SUITE K
SAN CARLOS CA, 94070-3135, US
Phone (415) 968-9540
Fax (650) 550-9189
Business Location
PO BOX 70
REDWOOD CITY CA, 94064-0070, US
Phone (415) 968-9540
Fax (650) 550-9189
Toxanomy
Taxonomy Code 106H00000X
License State California
License Number MFC50900
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According to our database, Hadi Koesnodihardjo NPI is 1073735700, taxonomy code is 106H00000X and license number is MFC50900, license state is located at California. Hadi Koesnodihardjo physically located at 1161 Cherry St, San Carlos CA, 94070-3135. NPI Number Hadi Koesnodihardjo has the Individual type.

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1073735700 NPI number is provided on an as is basis without warranty of any kind. 1073735700 is maintained by the National Plan & Provider Enumeration System. The contents of Hadi Koesnodihardjo are for informational purposes only.