Individual
JANIE YOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. A.
Contact information
Practice address
340 VICTORIA ST, COSTA MESA, CA 92627-1914
(714) 642-0387
Mailing address
7641 GRANADA DR, BUENA PARK, CA 90621-1212
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
15142
CA
Other
Enumeration date
05/24/2016
Last updated
05/24/2016
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