Individual
MR. ALEXANDER MANKARIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3725 TAYLOR RD STE 1, LOOMIS, CA 95650-9283
(916) 652-5814
Mailing address
PO BOX 1403, LOOMIS, CA 95650-1403
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/06/2019
Last updated
03/06/2019
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