JOHNNICO ANDREW MAGANA

CERES, CA
NPI1356119077
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-12-12
Last Update Date2023-12-12
Business Address
JOHNNICO ANDREW MAGANA
1904 RICHLAND AVE
CERES, CA 95307-4562
Phone number: 209-525-7411
Mailing Address
JOHNNICO ANDREW MAGANA
1904 RICHLAND AVE
CERES, CA 95307-4562
Phone number: 209-525-7411
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