Brianjohn Susmiran Magbanua
NPI #1619674835 in Jurupa Valley, California
Provider Information
- NPI Number
- 1619674835
- Entity Type
- Individual
- Name
- Brianjohn Susmiran Magbanua
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Feb 8, 2023
- Last Updated
- Feb 8, 2023
Practice Location
- Address
- 4757 MARRIETA ST
- City
- Jurupa Valley
- State
- California
- ZIP Code
- 91752-5067
- Phone
- (951) 532-5480
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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