Individual
PAUL P SASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10800 MAGNOLIA AVE, RIVERSIDE, CA 92505-3043
(951) 353-3642
Mailing address
33069 EAGLE POINT DR, YUCAIPA, CA 92399-3461
(909) 831-3524
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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