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1427364199
JESSICA TAVERA
LYNWOOD, CA
NPI
1427364199
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
225400000X Rehabilitation Practitioner
Enumeration Date
2010-08-19
Last Update Date
2023-06-01
Business Address
JESSICA TAVERA
2594 INDUSTRY WAY
LYNWOOD, CA 90262-4015
Phone number: 310-667-4071
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Mailing Address
JESSICA TAVERA
2594 INDUSTRY WAY
LYNWOOD, CA 90262-4015
Phone number: 310-667-4071
Copy
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