Individual
MR. JOHN GEORGE GAITANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14659 OLIVE VIEW DR, SYLMAR, CA 91342-1652
(818) 485-0867
Mailing address
14659 OLIVE VIEW DR, SYLMAR, CA 91342-1652
(818) 485-0867
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
551298
CA
Other
Enumeration date
09/21/2018
Last updated
09/21/2018
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