Individual
JENNY KWON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14850 CENTRAL AVE, CHINO, CA 91710-9509
(909) 597-0504
Mailing address
1 BENICIA, IRVINE, CA 92602-1079
(714) 833-7448
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
451684
CA
Other
Enumeration date
08/17/2021
Last updated
05/07/2024
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