Individual
JENNIFER GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24962 CALLE ARAGON, LAGUNA WOODS, CA 92637-3883
(949) 587-9000
Mailing address
8215 E WHITE OAK RDG, UNIT 11, ORANGE, CA 92869-6573
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
48045
CA
Other
Enumeration date
11/30/2016
Last updated
11/30/2016
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