Individual
JESSICA LANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2116 CRANDALL DR, APT C, SAN DIEGO, CA 92111-6725
(256) 527-2930
Mailing address
2116 CRANDALL DR, APT C, SAN DIEGO, CA 92111-6725
(256) 527-2930
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
15330
CA
Other
Enumeration date
06/18/2015
Last updated
06/18/2015
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