Individual
JIM JERMAINE HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
28650 NEWHALL RANCH RD, SANTA CLARITA, CA 91355-6066
(661) 466-2390
Mailing address
763 2ND ST, FILLMORE, CA 93015-1244
(580) 341-0917
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
53204
CA
Other
Enumeration date
05/27/2024
Last updated
05/27/2024
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