Individual
MS. JEAN TOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.T.C., MHRS
Contact information
Practice address
1339 20TH ST, SANTA MONICA, CA 90404-2033
(310) 829-8845
Mailing address
1339 20TH ST, SANTA MONICA, CA 90404-2033
(310) 829-8845
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
1821126640
CA
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
03/01/2007
Last updated
08/30/2023
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