Individual
HEATHER JO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
919 S WILTON PL APT 3, LOS ANGELES, CA 90019-2130
(213) 605-0524
Mailing address
11144 BUNKER LN, WHITTIER, CA 90604-2535
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
95002888
CA
Other
Enumeration date
10/02/2015
Last updated
01/15/2022
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