Individual
MR. JARED OSAZE ASEMOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
18440 HATTERAS ST, TARZANA, CA 91356-1956
(818) 428-8363
Mailing address
14701 RAYEN ST APT 310, PANORAMA CITY, CA 91402-1601
(818) 428-8363
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN206599
CA
Other
Enumeration date
08/14/2007
Last updated
08/14/2007
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