Individual
JESSICA MARISCAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
506 W JACKMAN ST, LANCASTER, CA 93534-2531
(424) 599-1503
Mailing address
506 W JACKMAN ST, LANCASTER, CA 93534-2531
(424) 599-1503
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
691507
CA
Other
Enumeration date
09/07/2021
Last updated
09/07/2021
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