Individual
BRIDGET JEMISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
803 FIGUEROA ST, WILMINGTON, CA 90744-2300
(310) 803-0863
Mailing address
221 W PLYMOUTH ST, #7, INGLEWOOD, CA 90302-3727
(213) 440-4355
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
51360
CA
Other
Enumeration date
05/16/2014
Last updated
05/16/2014
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