JOHNNICO ANDREW MAGANA

MODESTO, CA
NPI1356119077
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2023-12-12
Last Update Date2025-01-22
Business Address
JOHNNICO ANDREW MAGANA
500 N 9TH ST STE C
MODESTO, CA 95350-5814
Phone number: 209-558-4420
Mailing Address
JOHNNICO ANDREW MAGANA
500 N 9TH ST STE C
MODESTO, CA 95350-5814
Phone number: 209-558-4420