| NPI | 1447654264 |
|---|---|
| Doing Business As | JMK COMMUNITY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | JEANETTE MONIQUE KIDD Onwer 310-638-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP21822) |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2014-10-22 |