Individual
JESSICA MAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
19208 CAMPAIGN DR, CARSON, CA 90746-2022
(310) 808-4186
Mailing address
19208 CAMPAIGN DR, CARSON, CA 90746-2022
(310) 808-4186
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN281047
CA
Other
Enumeration date
12/21/2016
Last updated
12/21/2016
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