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Crystal Raquel Jara, BA

Rehabilitation Practitioner in Irwindale, CA. Individual provider (NPI-1).

NPI number1164058491
StatusActive
Last updated in NPPESNov 20, 2023

Details

NPI
1164058491
Entity type
Individual (NPI-1)
Name
Crystal Raquel Jara
Credential
BA
Sex
Female
Sole proprietor
No
Enumeration date
Mar 18, 2020
Certification date
Nov 20, 2023
Last updated
Nov 20, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225400000X Rehabilitation Practitioner––Yes

Practice location

13001 Ramona Blvd Ste A
Irwindale, CA 91706-3752

Phone 323-254-2274

Mailing address

940 Avenue 64
Pasadena, CA 91105-2711

Phone 323-543-2800 · Fax 323-978-1263

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