RAVEN SHENETTE MAYES JAMES

EL SEGUNDO, CA
NPI1558829721
Professional NameRAVEN SHENETTE MAYES
Entity TypeIndividual
GenderFemale
Sole Proprietor ?
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: FL  FLAPN559215)
Additional Taxonomies103T00000X Psychologist
(Licence:   50-2560)
152W00000X Optometrist
(Licence: MA  ONA21898)
156F00000X Technician/Technologist
(Licence:   CNA92737)
171000000X Military Health Care Provider
(Licence: KY  7-0076)
171000000X Military Health Care Provider
(Licence: DC  50-1454)
172A00000X Driver
(Licence: FL  M200-737-79-557-0)
207P00000X Emergency Medicine
(Licence: FL  50-2560)
207U00000X Nuclear Medicine
(Licence: FL  50-2560)
261Q00000X Clinic/Center
(Licence: GA  50-4007)
332100000X Department of Veterans Affairs (VA) Pharmacy
(Licence: FL  50-2560)
363A00000X Physician Assistant
363L00000X Nurse Practitioner
(Licence: CA  CEP15022)
363L00000X Nurse Practitioner
(Licence: AL  ABNP1418)
Enumeration Date2019-03-06
Last Update Date2022-07-21
Business Address
MRS. RAVEN SHENETTE MAYES JAMES ONA/MD/ARNP
2275 E MARIPOSA AVE
EL SEGUNDO, CA 90245-5029
Phone number: 310-426-6000
Mailing Address
MRS. RAVEN SHENETTE MAYES JAMES ONA/MD/ARNP
PO BOX 2303
HAWTHORNE, FL 32640-2303
Phone number: 352-271-5000