Individual
JOHN OLUSANYA LAJUBUTU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4441 E CESAR CHAVEZ BLVD, FRESNO, CA 93702-3604
(559) 600-9180
Mailing address
4441 E CESAR CHAVEZ BLVD, FRESNO, CA 93702-3604
(559) 600-9180
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
32919
CA
Other
Enumeration date
11/12/2024
Last updated
10/31/2025
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