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Individual

JOHN RESURRECCION

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
15331 JASMINE LN UNIT 106, GARDENA, CA 90249-4692
(562) 857-4671
Mailing address
15331 JASMINE LN UNIT 106, GARDENA, CA 90249-4692
(562) 857-4671

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
19693
CA

Other

Enumeration date
11/14/2018
Last updated
05/02/2021
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