Individual
MR. JASON KPEMOSA OGBEIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3955 FAIRCROSS PL UNIT 77, SAN DIEGO, CA 92115-6570
(213) 436-0752
Mailing address
3955 FAIRCROSS PL UNIT 77, SAN DIEGO, CA 92115-6570
(213) 436-0752
Taxonomy
Speciality
Code
Description
License number
State
102X00000X
Poetry Therapist
Primary
—
CA
Other
Enumeration date
08/16/2021
Last updated
08/16/2021
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