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Individual

JESIREE MAE DIZON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
94-216 FARRINGTON HWY # A-102, WAIPAHU, HI 96797-1922
(808) 600-9148
Mailing address
200 N ROBERTSON BLVD, STE 301, BEVERLY HILLS, CA 90211-6001
(310) 273-8256
(310) 273-8542

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
299906
CA

Other

Enumeration date
11/15/2019
Last updated
04/26/2021
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