Individual
MR. DAVID RUSSELL JANBAZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4860 Y ST, SACRAMENTO, CA 95817-2307
(916) 734-6700
Mailing address
1137 RUDGWICK DR, ROSEVILLE, CA 95747-6453
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT 1786
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08771
EMPLOEE
CA
Enumeration date
12/20/2005
Last updated
07/08/2007
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