Individual
LYNN JIE XU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
600 N GARFIELD AVE, 105, MONTEREY PARK, CA 91754-1166
(626) 307-9269
(626) 307-0354
Mailing address
600 N GARFIELD AVE STE 105, MONTEREY PARK, CA 91754-1168
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
22354
CA
363LG0600X
Gerontology Nurse Practitioner
22354
CA
Other
Enumeration date
11/29/2012
Last updated
11/29/2012
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