Individual
ANTHONY DYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7232 CANBY AVE STE 4, RESEDA, CA 91335-8143
(188) 705-5561
Mailing address
7232 CANBY AVE STE 4, RESEDA, CA 91335-8143
(818) 705-5561
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
137484
CA
Other
Enumeration date
08/30/2019
Last updated
08/30/2019
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