Individual
JENNIFER JIE LI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15370 ALTON PKWY, IRVINE, CA 92618-2362
(949) 500-0433
Mailing address
15370 ALTON PKWY, IRVINE, CA 92618-2362
(949) 500-0433
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
551281
CA
163WN1003X
Nutrition Support Registered Nurse
551281
CA
163WP0000X
Pain Management Registered Nurse
Primary
551281
CA
Other
Enumeration date
03/15/2016
Last updated
03/15/2016
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