JAKUTA M PTAH

NORTH HILLS, CA
NPI1669099289
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  113951)
Enumeration Date2020-06-30
Last Update Date2020-06-30
Business Address
JAKUTA M PTAH
15305 RAYEN ST
NORTH HILLS, CA 91343-5117
Phone number: 818-892-3423
Mailing Address
JAKUTA M PTAH
4704 COLDWATER CANYON AVE APT 2
STUDIO CITY, CA 91604-1001
Phone number: 818-569-9362
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