Individual
RIVIANE A JARDIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1500 SAN PABLO ST, LOS ANGELES, CA 90033-5313
(323) 442-8500
Mailing address
2901 S SEPULVEDA BLVD APT 154, LOS ANGELES, CA 90064-3941
(603) 318-6059
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95011478
CA
Other
Enumeration date
11/13/2020
Last updated
12/15/2020
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