Individual
DARRELL ANDRE HASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.V.N.
Contact information
Practice address
900 AVENIDA ACASO, SUITE A, CAMARILLO, CA 93012-8749
(805) 388-9336
(805) 482-6324
Mailing address
900 AVENIDA ACASO, SUITE A, CAMARILLO, CA 93012-8749
(805) 388-9336
(805) 482-6324
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN220651
CA
Other
Enumeration date
04/17/2009
Last updated
04/17/2009
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