Individual
DASHEAVIA JOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1440 N HARBOR BLVD STE 916, FULLERTON, CA 92835-4127
(478) 978-3347
(424) 349-0011
Mailing address
12550 CRENSHAW BLVD APT 219, HAWTHORNE, CA 90250-3869
(478) 978-3347
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
848098
CA
163WH0200X
Home Health Registered Nurse
848-098
CA
163WI0500X
Infusion Therapy Registered Nurse
848-098
CA
Other
Enumeration date
06/06/2013
Last updated
01/30/2023
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