Individual
JESSE LIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
919 N SUNSET AVE, WEST COVINA, CA 91790-1244
(626) 692-4489
Mailing address
13663 DICKY ST, WHITTIER, CA 90605-2950
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3380
CA
Other
Enumeration date
01/04/2017
Last updated
01/04/2017
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