Individual
JADE GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1774 ZONAL AVE BLDG B, LOS ANGELES, CA 90033-1064
(310) 221-6336
Mailing address
1774 ZONAL AVE BLDG B, LOS ANGELES, CA 90033-1064
(310) 221-6336
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
712661
CA
Other
Enumeration date
11/15/2022
Last updated
04/16/2026
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