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Individual

JAYLEN CHRISTOPHER HEBREO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
915 CRENSHAW BLVD, LOS ANGELES, CA 90019-1938
(626) 512-2184
Mailing address
10916 LANDALE ST APT 1, NORTH HOLLYWOOD, CA 91602-2223
(626) 512-2184

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4429
CA

Other

Enumeration date
07/27/2023
Last updated
07/27/2023
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