Individual
JACOB CUNNEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9823 SPRUCE CT, CYPRESS, CA 90630-3882
(562) 708-5544
Mailing address
9823 SPRUCE CT, CYPRESS, CA 90630-3882
(562) 708-5544
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5197
CA
Other
Enumeration date
12/23/2020
Last updated
12/23/2020
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