Individual
JESSICA JONELL LAVOISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1812 VERDUGO BLVD, GLENDALE, CA 91208-1407
(818) 790-7100
Mailing address
PO BOX 50938, LOS ANGELES, CA 90074-0938
(626) 457-6601
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
65726
CA
Other
Enumeration date
09/11/2023
Last updated
02/06/2026
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