Individual
CRISTIEN AGANZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14241 ROAD 28, MADERA, CA 93638-5715
(559) 675-6739
Mailing address
14241 ROAD 28, MADERA, CA 93638-5715
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
CA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/07/2017
Last updated
07/07/2017
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