Individual
BENJO JAMES CERTEZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16260 VENTURA BLVD, #600, ENCINO, CA 91436-2203
(818) 986-1977
Mailing address
28313 CONNIE CT, CANYON COUNTRY, CA 91387-3251
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
01/25/2016
Last updated
01/25/2016
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