Individual
JEWEL JEDD CUISON LAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
720 E ROMIE LN, SALINAS, CA 93901-4208
(831) 424-8072
Mailing address
928 BIG BEAR CT, MILPITAS, CA 95035-6954
(408) 807-2759
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
51061
CA
Other
Enumeration date
04/05/2021
Last updated
04/05/2021
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