Individual
JESSIE LAINA KOLJONEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 DUARTE RD, DUARTE, CA 91010-3012
(800) 826-4673
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
(800) 826-4673
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
125076309
IL
208200000X
Plastic Surgery Physician
Primary
A208102
CA
2086S0122X
Plastic and Reconstructive Surgery Physician
A208102
CA
Other
Enumeration date
06/25/2020
Last updated
08/05/2026
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