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WAVERLY DATNER
Physician Assistant
NPI: 1568197143IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
PA63706(CA)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2023
Contact & Hours
- Address
- 808 W 58TH ST
LOS ANGELES, CA 90037 - Phone
- (323) 541-1411
Quick Facts
- NPI
- 1568197143
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 3
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