Individual
MRS. JANESS ANDREI FUENTES DOROJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
3557 CAMPUS DR, THOUSAND OAKS, CA 91360-2744
(805) 241-2000
Mailing address
6716 VINELAND AVE APT 305, NORTH HOLLYWOOD, CA 91606-2070
(818) 821-9511
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA6141
CA
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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