MALAKAI JEREMIAH BUBAN

SAN DIEGO, CA
NPI1184187841
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: CA  95184495)
Enumeration Date2019-04-10
Last Update Date2019-04-10
Business Address
MALAKAI JEREMIAH BUBAN
3853 ROSECRANS ST
SAN DIEGO, CA 92110-3115
Phone number: 619-692-8232
Mailing Address
MALAKAI JEREMIAH BUBAN
3853 ROSECRANS ST
SAN DIEGO, CA 92110-3115
Phone number: 619-692-8232
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