Individual
JASON THRASHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7841 RESEDA BLVD, RESEDA, CA 91335-1946
(818) 996-1051
Mailing address
7841 RESEDA BLVD, RESEDA, CA 91335-1946
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/08/2023
Last updated
12/08/2023
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