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Individual

JEAN-ESDRACE GERMAIN CHARLES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DR.

Contact information

Practice address
7715 W SUNSET BLVD FRNT, LOS ANGELES, CA 90046-3912
(818) 209-8147
Mailing address
145 S GLENOAKS BLVD # 303, BURBANK, CA 91502-1315
(818) 209-8147

Taxonomy

Speciality
Code
Description
License number
State
101200000X
Drama Therapist
Primary
00000000
FL

Other

Enumeration date
05/05/2021
Last updated
05/05/2021
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