Sean Dishaw, RAS

NPI 1467876110 · on the registry since 2014 · sole proprietor

Practice

Address: 1100 N D St
San Bernardino, CA 92410
Phone: (909) 884-0840
Fax: (909) 885-6852
Organisation at this address: Veterans Alcohol Rehabilitation Program
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 93

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-02-14

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