Individual
DENNYS VALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
650 N OAKLAND AVE, PASADENA, CA 91101-1160
(626) 219-6010
Mailing address
940 AVENUE 64, PASADENA, CA 91105-2711
(323) 543-2800
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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