Individual
MRS. JANA DALENE HOLMGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29157 SIERRA GOLD CIR, MENIFEE, CA 92584-7667
(909) 648-5814
Mailing address
29157 SIERRA GOLD CIR, MENIFEE, CA 92584-7667
(909) 648-5814
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
NBCOT 1040174
CA
224Z00000X
Occupational Therapy Assistant
Primary
OTA 514
CA
Other
Enumeration date
03/17/2015
Last updated
03/17/2015
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