Individual
JACQUELINE JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
375 N LA CIENEGA BLVD, WEST HOLLYWOOD, CA 90048-1964
(310) 928-1300
Mailing address
375 N LA CIENEGA BLVD, WEST HOLLYWOOD, CA 90048-1964
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95000972
CA
Other
Enumeration date
07/11/2019
Last updated
07/11/2019
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