Healthcare Provider Details

I. General information

NPI: 1740781509
Provider Name (Legal Business Name): HONEST CITIZENS NETWORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2018
Last Update Date: 06/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1545 5TH ST
CLOVIS CA
93611-1411
US

IV. Provider business mailing address

1545 5TH ST
CLOVIS CA
93611-1411
US

V. Phone/Fax

Practice location:
  • Phone: 559-281-9575
  • Fax:
Mailing address:
  • Phone: 559-281-9575
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374K00000X
TaxonomyReligious Nonmedical Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MR. AARONJACK RUSSELL PERRY III
Title or Position: CHAIRMAN
Credential:
Phone: 559-281-9575