Individual
JESSICA PAOLA AMAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1530 S OLIVE ST, LOS ANGELES, CA 90015-3023
(213) 746-1037
Mailing address
1530 S OLIVE ST, LOS ANGELES, CA 90015-3023
(213) 747-5542
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95006999
CA
Other
Enumeration date
07/18/2017
Last updated
01/13/2023
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