Jaclyn Fertal
Jaclyn Fertal is a Rehabilitation Practitioner in Covina, California. Registered with an NPI since 2010.
- In the registry since
- 2010
Practice location Address checks out
4740 N Grand AveCovina, CA 91724-2005
Phone: (626) 859-2089
Fax: (626) 859-6537
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X |
|---|
Record details
| NPI number | 1346543154 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 16, 2010 |
| Last updated in NPPES | May 14, 2013 |
| Mailing address | 4740 N Grand Ave, Covina, CA 91724-2005 |
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