Individual
RAYMOND AQUINO MAGSAYSAY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7702 ALDEA AVE, LAKE BALBOA, CA 91406-2107
(818) 599-2737
Mailing address
7702 ALDEA AVE, LAKE BALBOA, CA 91406-2107
(818) 599-2737
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
03/18/2014
Last updated
03/18/2014
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