Individual
RICHARD JAVID DASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
9310 SIERRA AVE, FONTANA, CA 92335-5711
(909) 213-9037
Mailing address
6968 ROCKSPRING LN, HIGHLAND, CA 92346-5499
(909) 213-9037
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95003423
CA
Other
Enumeration date
12/03/2015
Last updated
11/30/2021
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