Individual
JENNA DAHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1500 SAN PABLO ST, LOS ANGELES, CA 90033-5313
(800) 872-2273
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-5100
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
412369
OH
363LA2100X
Acute Care Nurse Practitioner
024214
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
95027614
CA
Other
Enumeration date
11/08/2018
Last updated
01/02/2024
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