Individual
JESSIE ALVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
2051 MARENGO ST, LOS ANGELES, CA 90033-1352
(323) 409-1000
Mailing address
2051 MARENGO ST, LOS ANGELES, CA 90033-1352
(323) 409-1000
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95028858
CA
Other
Enumeration date
06/29/2024
Last updated
06/29/2024
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