Individual
JANELYN R DE LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
619 N FAIRFAX AVE, LOS ANGELES, CA 90036-1714
(818) 424-5158
Mailing address
619 N FAIRFAX AVE, LOS ANGELES, CA 90036-1714
(818) 424-5158
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8803
CA
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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