Individual
MRS. ILAH JACQUEMOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2117 W FALMOUTH AVE, ANAHEIM, CA 92801-1734
(562) 552-1890
Mailing address
2117 W FALMOUTH AVE, ANAHEIM, CA 92801-1734
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
13916
CA
Other
Enumeration date
01/03/2014
Last updated
11/19/2019
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