Richardson, Jacquene J
Richardson, Jacquene J is an sole proprietor health care provider with primary practice located at 3875 S Western Ave , Los Angeles CA 90062-1105. She recently has only one registered license in Nursing Service Providers / Licensed Psychiatric Technician, which is considered as her primary health care specialty. Richardson, Jacquene J can be contacted via phone (323) 290-4373.Contact Information
Primary practice address
3875 S Western Ave
Los Angeles CA 90062-1105
Phone: (323) 290-4373
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Psychiatric Technician | 167G00000X | PT36012 | California |
Profile Details
| NPI number | 1053699850 |
|---|---|
| LBN Legal business name | Richardson, Jacquene J |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 27th, 2011 |
| Last updated | Aug 1st, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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