Organization
MODIFICATION NETWORK, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH CHRISTIAN BOLOHAN (PRESIDENT)
(714) 881-1616
Entity
Organization
Contact information
Practice address
17662 IRVINE BLVD STE 20, TUSTIN, CA 92780-3133
(714) 881-1616
Mailing address
17662 IRVINE BLVD STE 20, TUSTIN, CA 92780-3133
(714) 881-1616
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Enumeration date
02/26/2020
Last updated
02/26/2020
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