Individual
JEFFREY VINCENT DANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13524 SHERMAN WAY, VAN NUYS, CA 91405-2830
(818) 786-3470
Mailing address
17724 HALSTED ST UNIT B, NORTHRIDGE, CA 91325-2025
(818) 261-3887
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4024
CA
Other
Enumeration date
03/31/2023
Last updated
03/31/2023
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