Individual
JOHN MAGLASANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9107 DAVIS RD, STOCKTON, CA 95209-1807
(209) 478-6488
Mailing address
1135 MILL WAY, STOCKTON, CA 95209-4369
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9370
CA
Other
Enumeration date
10/30/2014
Last updated
10/30/2014
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