DAN BRISENO

SONORA, CA
NPI1508202805
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2013-05-14
Last Update Date2013-05-14
Business Address
-- DAN BRISENO
427 HIGHWAY 49 305
SONORA, CA 95370-5666
Phone number: 209-533-1397
Mailing Address
-- DAN BRISENO
935 S. HIGHWAY 49
JACKSON, CA 95642
Phone number:
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