Individual
JESSICA ROSE BOZARTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CST
Contact information
Practice address
13136 EL MORO AVE, LA MIRADA, CA 90638
(714) 334-6128
Mailing address
13136 EL MORO AVE, LA MIRADA, CA 90638-1720
(714) 334-6128
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
100281867
CA
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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