Individual
JENNIFER RAE COATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1333 CHESTNUT AVE, LONG BEACH, CA 90813-2944
(562) 753-2303
Mailing address
1333 CHESTNUT AVE, LONG BEACH, CA 90813-2944
(562) 753-2303
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
731276
CA
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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