Individual
MRS. JESSICA L. MISITI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2330 UTAH AVE, EL SEGUNDO, CA 90245-4817
(424) 290-8004
Mailing address
2330 UTAH AVE, EL SEGUNDO, CA 90245-4817
(424) 290-8004
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
1477926053
FL
363LF0000X
Family Nurse Practitioner
9274400
FL
Other
Enumeration date
11/04/2015
Last updated
01/17/2025
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