Individual
PHOENIX GERMANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1316 APACHE AVE, SANTA FE, NM 87505-3212
(310) 721-4398
Mailing address
20548 VENTURA BLVD APT 407, WOODLAND HILLS, CA 91364-6472
(310) 721-4398
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/01/2023
Last updated
11/22/2024
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