John Ryan

NPI #1194009167 in Venice, California

Provider Information

NPI Number: 1194009167
Entity Type: Individual
Name: John Ryan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Oct 7, 2011
Last Updated: Oct 7, 2011

Practice Location

Address: 204 HAMPTON DR
City: Venice
State: California
ZIP Code: 90291-2623
Phone: (310) 399-6878

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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