Individual
JUSTIN DAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11159 FLORENCE LN, LOMA LINDA, CA 92354-6562
(702) 353-1660
Mailing address
11159 FLORENCE LN, LOMA LINDA, CA 92354-6562
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95051725
CA
163W00000X
Registered Nurse
RN67937
NV
367500000X
Certified Registered Nurse Anesthetist
Primary
IN PROGRESS
CA
Other
Enumeration date
02/27/2017
Last updated
02/27/2017
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