Individual
MS. MARILOU PANGANIBAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
630 BADEN AVE, SOUTH SAN FRANCISCO, CA 94080-3566
(415) 759-2169
Mailing address
630 BADEN AVE, SOUTH SAN FRANCISCO, CA 94080-3566
(415) 759-2169
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
01/04/2017
Last updated
01/04/2017
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