Kevin Van

NPI #1275929515 in Simi Valley, California

Provider Information

NPI Number: 1275929515
Entity Type: Individual
Name: Kevin Van
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Apr 14, 2015
Last Updated: Apr 14, 2015

Practice Location

Address: 5729 NUTWOOD CIR
City: Simi Valley
State: California
ZIP Code: 93063-3566
Phone: (805) 587-3719

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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