Individual
JENNIFER LEBOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1316 S COAST HWY, LAGUNA BEACH, CA 92651-3118
(949) 313-5200
Mailing address
1316 S COAST HWY, LAGUNA BEACH, CA 92651-3118
(949) 313-5200
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
766363
CA
Other
Enumeration date
07/04/2023
Last updated
07/04/2023
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