Individual
JUDE ANDREW CARBON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2415 S WESTERN AVE, LOS ANGELES, CA 90018-2608
(323) 734-1101
Mailing address
5642 GENTRY AVE, VALLEY VILLAGE, CA 91607-1817
(818) 618-8920
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
12/18/2018
Last updated
12/18/2018
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