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Individual

JESSICA GERNER VADOVICKY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
4201 LONG BEACH BLVD STE 203, LONG BEACH, CA 90807-2020
(562) 427-3897
(562) 595-7703
Mailing address
4201 LONG BEACH BLVD STE 203, LONG BEACH, CA 90807-2020
(562) 427-3897
(562) 595-7703

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95011038
CA

Other

Enumeration date
05/16/2019
Last updated
05/16/2019
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