WAVERLY ANNE DATNER

LOS ANGELES, CA
NPI1568197143
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA63706)
Enumeration Date2022-07-19
Last Update Date2023-12-15
Business Address
WAVERLY ANNE DATNER
808 W 58TH ST
LOS ANGELES, CA 90037-3632
Phone number: 323-541-1411
Mailing Address
WAVERLY ANNE DATNER
739 BEECHWOOD RD
HAVERTOWN, PA 19083-2619
Phone number:
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