Carson, Jessica Rae

Carson, Jessica Rae is an individual health care provider with primary practice located at 8939 S Sepulveda Blvd Suite 460, Los Angeles CA 90045-3631. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as her primary health care specialty. Carson, Jessica Rae can be contacted via phone (310) 337-7417.

Contact Information

Primary practice address
8939 S Sepulveda Blvd Suite 460 Los Angeles CA 90045-3631
Phone: (310) 337-7417
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X UNLICENSED

Profile Details

NPI number 1689054405
LBN Legal business name Carson, Jessica Rae
Credentials Bachelor of Social Work (BSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2015
Last updated Dec 20th, 2016 - about 9 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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