Individual
JENNA MAYBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5901 GREEN VALLEY CIR STE 130, CULVER CITY, CA 90230-6900
(310) 337-9820
Mailing address
16500 VENTURA BLVD # 414, ENCINO, CA 91436-2011
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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