Individual
JENNIFER NICOLE MAXIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
14522 EASTWOOD AVE, 15, LAWNDALE, CA 90260-1767
(310) 456-4396
Mailing address
14522 EASTWOOD AVE, 15, LAWNDALE, CA 90260-1767
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
259214
CA
Other
Enumeration date
06/04/2013
Last updated
06/04/2013
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