Individual
JEMIELLE MCMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3879 S WESTERN AVE, LOS ANGELES, CA 90062-1105
(323) 290-4340
Mailing address
3879 S WESTERN AVE, LOS ANGELES, CA 90062-1105
(626) 590-7926
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/18/2023
Last updated
10/19/2023
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