MINNIE JAN

LOS ANGELES, CA
NPI1326563446
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  292964)
Additional Taxonomies225100000X Physical Therapist
(Licence: NY  039594)
Enumeration Date2017-08-09
Last Update Date2017-10-12
Business Address
MINNIE JAN DPT
1640 MARENGO ST
LOS ANGELES, CA 90033-1036
Phone number: 323-865-1200
Mailing Address
MINNIE JAN DPT
PO BOX 31309
LOS ANGELES, CA 90031-0309
Phone number: 323-865-1200