SONNY DE WAYNE DE HART

GLENDALE, CA
NPI1346734399
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: CA  VN198057)
Enumeration Date2018-06-21
Last Update Date2018-06-21
Business Address
Mr. SONNY DE WAYNE DE HART LVN
225 JUSTIN AVE APT D
GLENDALE, CA 91201-2927
Phone number: 818-929-0932
Mailing Address
Mr. SONNY DE WAYNE DE HART LVN
225 JUSTIN AVE APT D
GLENDALE, CA 91201-2927
Phone number: 818-929-0932