Individual
JAMES FOSSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11600 ELDRIDGE AVE, LAKE VIEW TERRACE, CA 91342-6506
(818) 686-3000
Mailing address
11600 ELDRIDGE AVE, LAKE VIEW TERRACE, CA 91342-6506
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN285422
CA
Other
Enumeration date
05/20/2015
Last updated
05/06/2016
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