Individual
MRS. CYNTHIA BEARDEN JERNIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11301 WILSHIRE BLVD, LOS ANGELES, CA 90073-1003
(310) 478-3711
(310) 268-4812
Mailing address
19413 CRAIGJON AVE, CARSON, CA 90746-2822
(310) 537-3980
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10867
CA
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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