JESSICA GARDENIA VAJARAKITIPONGSE

CORONA, CA
NPI1982039970
Former NameJESSICA GARDENIA ABAD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: CA  11386)
Enumeration Date2013-09-09
Last Update Date2019-04-24
Business Address
JESSICA GARDENIA VAJARAKITIPONGSE OTR
2815 S MAIN ST STE 205
CORONA, CA 92882-2533
Phone number: 951-475-1307
Mailing Address
JESSICA GARDENIA VAJARAKITIPONGSE OTR
747 LASSEN DR
CORONA, CA 92879-5980
Phone number: 951-751-8612