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Individual

MRS. CHARISMA TRAFALGAR JUCABAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
664 W GLENOAKS BLVD APT A, GLENDALE, CA 91202-3371
(818) 749-8892
Mailing address
664 W GLENOAKS BLVD APT A, GLENDALE, CA 91202-3371
(818) 749-8892

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9873
CA

Other

Enumeration date
01/14/2016
Last updated
01/14/2016
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