Individual
JOHN MANFRED MAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EDD
Contact information
Practice address
820 LAS GALLINAS AVE, SAN RAFAEL, CA 94903-3452
(415) 444-3037
(415) 444-3019
Mailing address
820 LAS GALLINAS AVE, SAN RAFAEL, CA 94903-3452
(415) 444-3037
(415) 444-3019
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY8849
CA
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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