HERRICK MAYANG

SAN DIEGO, CA
NPI1720741457
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: CA  648)
Enumeration Date2021-10-19
Last Update Date2021-10-19
Business Address
HERRICK MAYANG
111 ELM ST
SAN DIEGO, CA 92101-2692
Phone number: 619-677-3800
Mailing Address
HERRICK MAYANG
2004 E 4TH ST
NATIONAL CITY, CA 91950-2049
Phone number: 619-340-3044
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