Individual
JENNIFER LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NP
Contact information
Practice address
49-111 CA-111 #6A, COACHELLA, CA 92236
(888) 743-7526
Mailing address
45210 PANORAMA DR APT 3, PALM DESERT, CA 92260-4401
(619) 471-4799
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
217526
TN
163WW0101X
Ambulatory Women's Health Care Registered Nurse
95176089
CA
363LW0102X
Women's Health Nurse Practitioner
Primary
95010516
CA
Other
Enumeration date
09/20/2018
Last updated
12/12/2018
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