Individual
JAPHET BUSAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
421 E ALGROVE ST, COVINA, CA 91723-2775
(626) 915-0902
Mailing address
421 E ALGROVE ST, COVINA, CA 91723-2775
(626) 915-0902
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
261
CA
Other
Enumeration date
06/24/2011
Last updated
06/24/2011
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