Individual
ANGELA ROSE JESKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1227 E LOS ANGELES AVE, SIMI VALLEY, CA 93065-2871
(805) 582-4079
(805) 582-4804
Mailing address
1226 KIRKFORD WAY, WESTLAKE VILLAGE, CA 91361-3722
(805) 509-6065
(805) 582-4804
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN 247611
CA
Other
Enumeration date
02/19/2010
Last updated
02/19/2010
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