Individual
JESCEY ADRIEN MACATANGAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
204 N BURLINGTON AVE APT 1, LOS ANGELES, CA 90026-5437
(213) 440-3310
Mailing address
204 N BURLINGTON AVE APT 1, LOS ANGELES, CA 90026-5437
(213) 440-3310
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
51214
CA
Other
Enumeration date
06/18/2021
Last updated
06/18/2021
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