Individual
JENNA ELIZABETH FRYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1891 EFFIE ST, LOS ANGELES, CA 90026-1711
(323) 644-2000
Mailing address
135 CUSTER CIR, CORONA, CA 92881-8204
(951) 642-8229
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95385006
CA
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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