Individual
JESSICCA L MEJIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5425 POMONA BLVD, LOS ANGELES, CA 90022-1716
(323) 728-0411
(323) 832-7599
Mailing address
5425 POMONA BLVD, LOS ANGELES, CA 90022-1716
(323) 728-0411
(323) 832-7599
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
705015
CA
164X00000X
Licensed Vocational Nurse
Primary
705015
CA
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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