Search › California › 363L00000X
Gereine Mae Datan
NPI 1215537543 · on the registry since 2020 · sole proprietor
Practice
- Address
- 500 W 190 St
Gardena, CA 90248 - Phone
- (714) 452-1961
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-10-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California