Individual
JONAH ADRIAN SKLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGNP
Contact information
Practice address
28925 BARDELL DR, AGOURA HILLS, CA 91301-2133
(714) 642-1577
Mailing address
28925 BARDELL DR, AGOURA HILLS, CA 91301-2133
(714) 642-1577
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95013897
CA
363LG0600X
Gerontology Nurse Practitioner
95013897
CA
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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