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Individual

DANIEL VERRAN TUBBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
625 FAIR OAKS AVE STE 300, SOUTH PASADENA, CA 91030-5805
(626) 395-7100
Mailing address
625 FAIR OAKS AVE STE 300, SOUTH PASADENA, CA 91030-5805

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
06/15/2010
Last updated
06/15/2010
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