Individual
JAMIN LOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12576 LUCKY CT, EASTVALE, CA 91752-3696
(909) 680-8145
Mailing address
12576 LUCKY CT, EASTVALE, CA 91752-3696
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2995
CA
Other
Enumeration date
01/13/2015
Last updated
01/13/2015
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