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Jeneane Agustin
NPI 1205087343 · on the registry since 2008
Practice
- Address
- 2450 S Atlantic Blvd
Suite 207
Commerce, CA 90040 - Phone
- (323) 887-1917
- Fax
- (323) 268-6572
- Organisation at this address
- Penny Lane
Penny LaneInferred from a shared address, not stated in the registry. - Clinicians at this address
- 55
Registry record
- Primary taxonomy
- Rehabilitation Practitioner
225400000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-10-07
- Status
- Not present in the most recent federal file
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