Individual
JESSICA LYNNE LONTAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9888 GENESEE AVE, LA JOLLA, CA 92037-1205
(858) 834-1798
Mailing address
12180 RAGWEED ST, SAN DIEGO, CA 92129-4104
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT18914
CA
Other
Enumeration date
09/29/2017
Last updated
09/18/2024
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