Individual
MR. JIMMY D RECIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
550 S VERMONT AVE, 9TH FLOOR, LOS ANGELES, CA 90020-1912
(213) 485-3375
Mailing address
5765 VIA DE MANSION, LA VERNE, CA 91750-1634
(909) 267-4071
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN514180
CA
Other
Enumeration date
07/09/2008
Last updated
07/09/2008
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