Individual
JAMIE OH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
43520 DIVISION ST, LANCASTER, CA 93535-4089
(661) 266-4783
Mailing address
43760 TAHOE WAY, LANCASTER, CA 93536-1766
(661) 317-5621
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
268049
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164X00000X
#95-2633765
CA
Enumeration date
05/20/2020
Last updated
05/20/2020
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