Individual
SITHY BIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8145 CANBY AVE UNIT 3, RESEDA, CA 91335-3143
(707) 239-9266
Mailing address
8145 CANBY AVE UNIT 3, RESEDA, CA 91335-3143
(707) 239-9266
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-DJKRWT
CA
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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