Individual
MS. JENNIFER MARIE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4425 SOUTH CENTRAL AVE., LOS ANGELES, CA 90009-1694
(323) 908-4200
(323) 908-4262
Mailing address
P.O. BOX 91694, LOS ANGELES, CA 90009-1694
(323) 908-4200
(323) 908-4262
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA14956
CA
Other
Enumeration date
12/13/2006
Last updated
01/12/2011
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