Individual
DANA WILFRED WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1600 W AVENUE J, LANCASTER, CA 93534-2894
(661) 406-8394
Mailing address
5108 PEARL CT, QUARTZ HILL, CA 93536-4379
(661) 406-8394
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
424564
CA
Other
Enumeration date
01/29/2019
Last updated
01/29/2019
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