Individual
JACQUELINE ENFIEDJIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1000 W CARSON ST, TORRANCE, CA 90502-2004
(310) 222-2345
Mailing address
23717 HYNFORD PL, HARBOR CITY, CA 90710-1312
(310) 634-9578
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95009321
CA
Other
Enumeration date
10/24/2018
Last updated
06/29/2019
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