Individual
MS. JESSICA MACIAS MAGANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
501 S BUENA VISTA ST, BURBANK, CA 91505-4809
(818) 843-5111
Mailing address
8700 DE SOTO AVE APT 221, CANOGA PARK, CA 91304-1932
(818) 744-0864
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95007475
CA
Other
Enumeration date
09/21/2017
Last updated
09/21/2017
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