Individual
BRIAN JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4121 MOUNTAIN VIEW RD, TURLOCK, CA 95382-8342
(209) 918-5997
Mailing address
1904 RICHLAND AVE BLDG A, CERES, CA 95307-4562
(209) 300-8800
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/21/2018
Last updated
11/21/2018
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