JOHNNICO ANDREW MAGANA

MODESTO, CA
NPI1356119077
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2023-12-12
Last Update Date2024-09-23
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