Individual
CONNOR DENNIS WHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3333 SUSAN ST, COSTA MESA, CA 92626-1632
(714) 540-7100
Mailing address
3333 SUSAN ST, COSTA MESA, CA 92626-1632
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL6709
FL
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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