Individual
ABDALLAH MAYEN LUGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
251 AIRPORT RD, OCEANSIDE, CA 92058-1201
(760) 721-1706
(760) 231-5574
Mailing address
251 AIRPORT RD, OCEANSIDE, CA 92058-1201
(760) 721-1706
(760) 231-5574
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-256784
CA
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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