Individual
MR. DATHAN AARON PIRITU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4411 E KINGS CANYON RD, FRESNO, CA 93702-3604
(559) 453-1008
Mailing address
PO BOX 6875, VISALIA, CA 93290-6875
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
620535
CA
Other
Enumeration date
11/19/2012
Last updated
11/19/2012
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