Individual
MS. JEANAE AREVALO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
380 S FERRIS AVE, LOS ANGELES, CA 90022-1921
(818) 523-4320
Mailing address
2604 S VERMONT AVE, LOS ANGELES, CA 90007-2298
(323) 731-3333
(323) 731-7626
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
83365
CA
Other
Enumeration date
02/06/2015
Last updated
02/06/2015
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