Individual
MS. JESSICA DAWN LUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
805 DUCHOW WAY, FOLSOM, CA 95630-2807
(209) 915-8446
Mailing address
805 DUCHOW WAY, FOLSOM, CA 95630-2807
(209) 915-8446
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2057
CA
Other
Enumeration date
06/01/2011
Last updated
06/01/2011
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