Individual
JESSICA REITEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1891 EFFIE ST, LOS ANGELES, CA 90026-1793
(323) 644-2000
Mailing address
1891 EFFIE ST, LOS ANGELES, CA 90026-1793
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95393383
CA
163WC0400X
Case Management Registered Nurse
95393383
CA
163WC1500X
Community Health Registered Nurse
95393383
CA
163WG0000X
General Practice Registered Nurse
95393383
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95393383
CA
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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