Individual
JEFF MAGALLANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12151 DALE AVE, STANTON, CA 90680-3889
(714) 530-9100
Mailing address
255 W 7TH ST APT 18, SAN PEDRO, CA 90731-0304
(714) 331-6716
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT17603
CA
Other
Enumeration date
01/11/2018
Last updated
03/17/2018
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