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Individual

ADAN KINTANAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LVN

Contact information

Practice address
66 HURLBUT ST, PASADENA, CA 91105-4025
(626) 441-4221
Mailing address
36 S KINNELOA AVE, PASADENA, CA 91107-3853
(626) 844-3033
(626) 844-3034

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
160818
CA

Other

Enumeration date
03/18/2016
Last updated
01/09/2017
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