Individual
EDGAR DAMIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
32670 HIGHWAY 20 UNIT 2, FORT BRAGG, CA 95437-5708
(707) 964-1136
Mailing address
PO BOX 2077, UKIAH, CA 95482-2077
(707) 472-2922
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
04/04/2016
Last updated
04/12/2023
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