Individual
JACQUELYN LABRIE PULIDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
679 S NEW HAMPSHIRE AVE STE 400, LOS ANGELES, CA 90005-1355
(213) 639-0298
Mailing address
2677 ZOE AVE STE 304, HUNTINGTON PARK, CA 90255-3699
(323) 346-0960
(323) 346-0966
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/07/2019
Last updated
07/28/2023
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