JAKUTA M PTAH

WEST HOLLYWOOD, CA
NPI1669099289
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  144691)
Enumeration Date2020-06-30
Last Update Date2025-09-17
Business Address
JAKUTA M PTAH
8605 SANTA MONICA BLVD PMB 922998
WEST HOLLYWOOD, CA 90069-4109
Phone number: 818-892-3423
Mailing Address
JAKUTA M PTAH
8605 SANTA MONICA BLVD PMB 922998
WEST HOLLYWOOD, CA 90069-4109
Phone number: 818-569-9362
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