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MS. JENEANE SALALIMA AGUSTIN

>> Rehabilitation Practitioner >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1205087343

Individual Registrant:
MS. JENEANE SALALIMA AGUSTIN 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
2450 S ATLANTIC BLVD SUITE 207 COMMERCE, CA 90040-1200 US
Tel: 323-887-1917  Fax: 323-268-6572

Contact information for business:
2450 S ATLANTIC BLVD SUITE 207 COMMERCE, CA 90040-1200 US
Tel: 323-887-1917  Fax: 323-268-6572

Registration Information:
NPI: 1205087343
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225400000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Rehabilitation Practitioner
CA22540000X

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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