Individual
BRIAN MARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2005 RIDGE RD, BAKERSFIELD, CA 93305-4123
(661) 868-4128
Mailing address
2005 RIDGE RD, BAKERSFIELD, CA 93305-4123
(661) 868-4128
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/31/2016
Last updated
01/04/2017
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