Most Relevant Information
Provider Data
NPI Number: | 1003281700 |
Provider Name: | RON MABRY |
Entity Type: | Individual |
Taxonomy Code: | 101YA0400X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 12/07/2015 |
Last Updated: | 12/07/2015 |
Provider Practice Location
2772 S. MARTIN LUTHER KING BLVD
FRESNO
CA
93706
Practice Location Phone/Fax
Phone: | 5592654800 |
Fax: |
Provider Mailing Location
3456 E ILLINOIS AVE
FRESNO
CA
937022027
Provider Mailing Phone/Fax
Phone: | 5592654800 |
Fax: |