Individual
DR. TODD L SNOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
876 N MOUNTAIN AVE, UPLAND, CA 91786-4166
(909) 957-2098
Mailing address
PO BOX 7866, LA VERNE, CA 91750-7866
(909) 957-2098
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225332794
—
CA
05
—
1225332794
—
GA
Enumeration date
12/27/2010
Last updated
09/11/2014
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