Lance Dean, PTA

NPI #1295093268 in Janesville, California

Provider Information

NPI Number: 1295093268
Entity Type: Individual
Name: Lance Dean, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Health Worker
Credential: PTA
Enumeration Date: Apr 27, 2012
Last Updated: Apr 27, 2012

Practice Location

Address: 461-935 JANESVILLE GRADE
City: Janesville
State: California
ZIP Code: 96114
Phone: (530) 253-2123

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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