Individual
JOHN VINCENT PENDON PAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3400 STATE ST STE G750, SALEM, OR 97301-7012
(818) 345-2345
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(838) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
Y4606089
CA
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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