Individual
WESLEY JARASUNAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11600 ELDRIDGE AVE, LAKE VIEW TERRACE, CA 91342-6506
(818) 686-3000
Mailing address
407 BIRMINGHAM RD, BURBANK, CA 91504-3908
(818) 669-8987
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
02/09/2014
Last updated
02/09/2014
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