Individual
JAMIE LEE PLAXCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
550 N FLOWER ST, SANTA ANA, CA 92703-2361
(205) 908-9172
Mailing address
9825 MAGNOLIA AVE STE B, RIVERSIDE, CA 92503-3565
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95010397
CA
Other
Enumeration date
07/12/2017
Last updated
12/28/2018
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