Individual
MISS JAHALA OLEMA WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
6200 DE SOTO AVE APT 36202, WOODLAND HILLS, CA 91367-0218
(181) 861-4677
Mailing address
6200 DE SOTO AVE APT 36202, WOODLAND HILLS, CA 91367-0218
(181) 861-4677
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN254061
CA
Other
Enumeration date
01/18/2021
Last updated
01/18/2021
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