JAKE ROBERT LIBED GASTON

WOODLAND HILLS, CA
NPI1477319010
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  305442)
Enumeration Date2024-02-22
Last Update Date2024-05-07
Business Address
JAKE ROBERT LIBED GASTON DPT
5601 DE SOTO AVE
WOODLAND HILLS, CA 91367-6701
Phone number: 833-574-2273
Mailing Address
JAKE ROBERT LIBED GASTON DPT
5309 ROMAINE ST
LOS ANGELES, CA 90029-3209
Phone number: 323-243-6658
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