Individual
NATHANIEL JORDAN KHOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1509 WILSON TER, GLENDALE, CA 91206-4007
(818) 409-8000
Mailing address
17786 WREN DR, CANYON COUNTRY, CA 91387-3827
(626) 802-8300
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
95047194
CA
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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