Individual
FLORANTE AGBAYANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
112 PEPPERWOOD ST, HERCULES, CA 94547-1317
(650) 452-3356
Mailing address
112 PEPPERWOOD ST, HERCULES, CA 94547-1317
(650) 452-3356
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/31/2017
Last updated
10/31/2017
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