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Individual

DR. JOSEPH MALANCHARUVIL

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
3102 EAST HIGHLAND AVE, PATTON, CA 92369
(909) 425-7000
(909) 425-7520
Mailing address
1600 9TH ST, ROOM 205 MAILSTOP 2-3, SACRAMENTO, CA 95814-6414
(916) 654-2431
(916) 654-3186

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY8026
CA

Other

Enumeration date
05/17/2006
Last updated
07/08/2007
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