Organization
JESSY JOE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACINTA N ANYAKWO (TREASURY)
(310) 835-0461
Entity
Organization
Contact information
Practice address
1300 E 223RD ST, #513, CARSON, CA 90745-4355
(310) 835-0461
(310) 835-0461
Mailing address
1330 E 223RD STR, 513, CARSON, CA 90745
(310) 835-0461
(310) 835-0493
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
44687
CA
Other
Enumeration date
08/17/2006
Last updated
04/03/2008
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