Individual
LOGAN DANIEL SERENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11955 PUYE RD, APPLE VALLEY, CA 92308-4006
(442) 364-3470
(442) 364-3470
Mailing address
11955 PUYE RD, APPLE VALLEY, CA 92308-4006
(442) 364-3470
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
CA
Other
Enumeration date
03/05/2026
Last updated
03/05/2026
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