Individual
KIMJOEL SANGUENZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 S HAM LN, LODI, CA 95242-3543
(209) 368-7141
Mailing address
800 S HAM LN, LODI, CA 95242-3543
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
04/07/2014
Last updated
01/28/2016
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