Individual provider · NPI-1
Jessica Dawson, RN
Exclusive Provider Organization · Lawndale, CA
NPI number1508218165
StatusActive
Last updated in NPPESJul 7, 2016
Details
- NPI
- 1508218165
- Entity type
- Individual (NPI-1)
- Name
- Jessica Dawson
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 7, 2016
- Last updated
- Jul 7, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 302F00000X | Exclusive Provider Organization | – | – | Yes |
Practice location
4023 Marine AveLawndale, CA 90260-1840
Phone 310-675-9555
Mailing address
11246 Jacklin TerBeaumont, CA 92223-7415
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