RANDY GIORGIO MUNGUIA

SAN DIEGO, CA
NPI1407386972
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225800000X Recreation Therapist
(Licence: CA  65813)
Enumeration Date2017-06-15
Last Update Date2017-06-15
Business Address
RANDY GIORGIO MUNGUIA Randy
9089 CLAIREMONT MESA BLVD STE 200
SAN DIEGO, CA 92123-1225
Phone number: 800-787-6787
Mailing Address
RANDY GIORGIO MUNGUIA Randy
17709 CORTNER AVE
CERRITOS, CA 90703-8119
Phone number: 1714-458-1778