Individual
JENESSA K. JOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1804
(310) 423-1447
Mailing address
525 E 68TH ST, BOX 124, NEW YORK, NY 10065-4870
(212) 746-2941
(646) 962-1920
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A168438
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2016
Last updated
12/03/2021
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