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Charisma Jucaban, PTA
NPI 1720444151 · on the registry since 2016 · sole proprietor
Practice
- Address
- 664 W Glenoaks Blvd Apt A
Glendale, CA 91202 - Phone
- (818) 749-8892
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-01-14
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