Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SYVANNAH ROZE BUTLER, NDTR
Active Sole Proprietor136A00000X · LOMA LINDA, CA
Registration Details
- NPI Number
- 1841894599
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 24, 2020 (5.4089766050648 yrs)
- Last Updated
- Jan 3, 2022
- License
-
86295788 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11234 ANDERSON STLOMA LINDA, CA, 923542804Browse CA providers · Browse ZIP 92354
- Phone
- 9095584000
- Primary Specialty
-
136A00000X
136A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.