Individual
JOHN MACHADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
405 W 5TH ST, SANTA ANA, CA 92701-4599
(714) 796-0200
Mailing address
3136 YORBA LINDA BLVD APT G13, FULLERTON, CA 92831-2320
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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