Individual
JAYANNE LAGARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15003 LA MESA DR, LA MIRADA, CA 90638-4814
(310) 972-9417
Mailing address
15003 LA MESA DR, LA MIRADA, CA 90638-4814
(310) 972-9417
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2620
CA
Other
Enumeration date
01/31/2023
Last updated
01/31/2023
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