Individual
JONAH GABRIEL MARANON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4626 WILLOW RD, PLEASANTON, CA 94588-8517
(925) 463-0470
Mailing address
2247 NORMANDY CIR, LIVERMORE, CA 94550-8226
(925) 337-6284
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
52666
CA
Other
Enumeration date
07/31/2023
Last updated
08/01/2023
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