Individual
RANDY GIORGIO MUNGUIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RANDY
Contact information
Practice address
9089 CLAIREMONT MESA BLVD STE 200, SAN DIEGO, CA 92123-1225
(800) 787-6787
Mailing address
17709 CORTNER AVE, CERRITOS, CA 90703-8119
17144581778
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
65813
CA
Other
Enumeration date
06/15/2017
Last updated
06/15/2017
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