Individual
MEVISA AKAGAWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21065 ASHLEY LN, LAKE FOREST, CA 92630-5868
(909) 581-2579
Mailing address
21065 ASHLEY LN, LAKE FOREST, CA 92630-5868
(909) 581-2579
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
477540
CA
Other
Enumeration date
04/18/2024
Last updated
04/18/2024
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