Individual
JUSTINE WYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
530 W OJAI AVE, #204, OJAI, CA 93023-2462
(805) 640-5148
Mailing address
226 W OJAI AVE, #101-439, OJAI, CA 93023-3277
(805) 640-5148
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
27876
CA
Other
Enumeration date
07/28/2016
Last updated
07/28/2016
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