JAYLENE STA ANA

GARDEN GROVE, CA
NPI1083179618
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: CA  ota4584)
Enumeration Date2019-02-07
Last Update Date2019-02-07
Business Address
JAYLENE STA ANA OTA
9764 GARDEN GROVE BLVD
GARDEN GROVE, CA 92844-1615
Phone number: 714-534-0007
Mailing Address
JAYLENE STA ANA OTA
9764 GARDEN GROVE BLVD
GARDEN GROVE, CA 92844-1615
Phone number: 714-534-0007