Individual
JENNIFER TRACY LESSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 S GRAND AVE STE C, SANTA ANA, CA 92705-4434
(714) 567-7688
Mailing address
11 EDGARTOWN ST, LADERA RANCH, CA 92694-1007
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
617489
CA
Other
Enumeration date
01/22/2019
Last updated
04/01/2020
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