Individual
JACLYN NASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4515 OCEAN VIEW BLVD STE 320, LA CANADA FLINTRIDGE, CA 91011-1438
(818) 369-7620
(818) 369-7621
Mailing address
234 S FIGUEROA ST, APT 938, LOS ANGELES, CA 90012-2541
(559) 903-4864
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
291656
CA
Other
Enumeration date
08/01/2016
Last updated
08/01/2016
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