Individual
VON JARED OMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1350 EUCLID AVE, SAN DIEGO, CA 92105-5424
(619) 263-2166
Mailing address
5440 BALTIMORE DR UNIT 171, LA MESA, CA 91942-2062
(619) 813-8895
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2050
CA
Other
Enumeration date
06/05/2020
Last updated
06/05/2020
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