Individual
MS. LEILA ESPANOLA JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
4508 WAWONA ST, LOS ANGELES, CA 90065-5231
(323) 243-5707
Mailing address
4508 WAWONA ST, LOS ANGELES, CA 90065-5231
(323) 243-5707
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
674776
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95004684
CA
Other
Enumeration date
02/17/2015
Last updated
09/30/2016
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