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Individual

MR. JUSTINN FRANK WADDELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RCP, RRT

Contact information

Practice address
13651 WILLARD ST, PANORAMA CITY, CA 91402
(818) 815-2901
Mailing address
10844 OXNARD ST APT 17, NORTH HOLLYWOOD, CA 91606-5043
(818) 605-9078

Taxonomy

Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
33912
CA

Other

Enumeration date
08/20/2018
Last updated
08/20/2018
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