Individual
NATHAN DINITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4178 WALLIS CT, PALO ALTO, CA 94306-3821
(650) 999-1442
Mailing address
4178 WALLIS CT, PALO ALTO, CA 94306-3821
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
E113847
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E113847
EMERGENCY MEDICAL SERVICES AUTHORITY, CALIFORNIA
CA
Enumeration date
04/28/2020
Last updated
04/28/2020
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