Reynaldo Maranan Bulaon P.A-C

NPI 1659396760 - Physician Assistant - 363A00000X

NPI Details
NPI 1659396760
Gender Male
Enumeration Date 07/12/2006
Last Updated 02/04/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
ANTIOCH CA, 94509-6200, US
Phone (925) 779-7273
Fax (925) 779-7281
Business Location
STE 920
EMERYVILLE CA, 94608-1826, US
Phone (510) 350-2600
Fax (510) 879-9100
Taxonomy Code 363A00000X
License State California
License Number PA16855
Remove 1659396760 NPI Number

According to our database, Reynaldo Maranan Bulaon P.A-C NPI is 1659396760, taxonomy code is 363A00000X and license number is PA16855, license state is located at California. Reynaldo Maranan Bulaon P.A-C physically located at 3901 Lone Tree Way, Antioch CA, 94509-6200. NPI Number Reynaldo Maranan Bulaon P.A-C has the Individual type.

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1659396760 NPI number is provided on an as is basis without warranty of any kind. 1659396760 is maintained by the National Plan & Provider Enumeration System. The contents of Reynaldo Maranan Bulaon P.A-C are for informational purposes only.