Individual
JAMIE CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
5425 POMONA BLVD, LOS ANGELES, CA 90022-1716
(323) 519-1233
Mailing address
5425 POMONA BLVD, LOS ANGELES, CA 90022-1716
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
282873
CA
Other
Enumeration date
12/20/2018
Last updated
12/20/2018
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