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Jastine De Guzman, PTA
NPI 1043875305 · on the registry since 2019 · sole proprietor
Practice
- Address
- 1242 N Edgemont St Apt 6
Los Angeles, CA 90029 - Phone
- (323) 474-8780
Additional practice sites
- 1242 N Edgemont St Apt 6, Los Angeles, CA
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-05-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California