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Organization

IMAGE RX, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JENNIFER L RASCOE RN (REGISTERED NURSE)
(562) 961-3668
Entity
Organization

Contact information

Practice address
6214 E PACIFIC COAST HWY, LONG BEACH, CA 90803-4867
(562) 961-3668
(562) 961-3669
Mailing address
6214 E PACIFIC COAST HWY, LONG BEACH, CA 90803-4867
(562) 961-3668
(562) 961-3669

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
FNP36074
CA

Other

Enumeration date
05/05/2010
Last updated
05/05/2010
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