Individual
MYISHA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
426 S SAN PEDRO ST, LOS ANGELES, CA 90013-2119
(213) 633-2950
Mailing address
426 S SAN PEDRO ST, LOS ANGELES, CA 90013-2119
(213) 633-2950
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
50308
NY
Other
Enumeration date
02/27/2014
Last updated
02/27/2014
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