Individual
JACQUELINE BLAKE SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5335 CRANER AVE, NORTH HOLLYWOOD, CA 91601-3313
(818) 927-4045
(818) 927-4016
Mailing address
5335 CRANER AVE, NORTH HOLLYWOOD, CA 91601-3313
(818) 927-4045
(818) 927-4016
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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