Individual
JAMIE HOGGE OMELANCZUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24452 HEALTH CENTER DR, LAGUNA HILLS, CA 92653-3604
(949) 837-8000
Mailing address
721 AMIGOS WAY APT 6, NEWPORT BEACH, CA 92660-4557
(972) 345-8997
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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