Individual
CALEB MASNOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9901 NE 7TH AVE STE C116, VANCOUVER, WA 98685-4528
(818) 345-2345
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
CO
Other
Enumeration date
06/22/2017
Last updated
02/06/2018
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