NATHANIEL GANDY LANE

SANTA ANA, CA
NPI1528427994
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: CA  53182)
Enumeration Date2016-02-15
Last Update Date2016-02-15
Business Address
-- NATHANIEL GANDY LANE PA-C
420 S. BRISTOL ST.
SANTA ANA, CA 92703
Phone number: 714-541-5252
Mailing Address
-- NATHANIEL GANDY LANE PA-C
420 S BRISTOL ST
SANTA ANA, CA 92703-4527
Phone number: 714-541-5252
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