Individual
ADIRA NOREEN SAMEYAH CACANANTA MANZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3491 ELM AVE, LONG BEACH, CA 90807-4430
(562) 999-7788
Mailing address
21600 OXNARD ST, WOODLAND HILLS, CA 91367-4976
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/31/2018
Last updated
01/31/2018
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