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Individual

JAIME KANA CLEVENGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
200 E DEL MAR BLVD, SUITE 112, PASADENA, CA 91105-2544
(626) 564-2700
(626) 564-2770
Mailing address
200 E DEL MAR BLVD, SUITE 112, PASADENA, CA 91105-2544
(626) 564-2700
(626) 564-2770

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
33198
CA

Other

Enumeration date
08/02/2010
Last updated
08/02/2010
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