Fairclough, Jodivon Lee

Fairclough, Jodivon Lee is an individual health care provider with primary practice located at 5300 Angeles Vista Blvd , View Park CA 90043-1648. She recently has only one registered license in Nursing Service Providers / Licensed Vocational Nurse, which is considered as her primary health care specialty. Fairclough, Jodivon Lee can be contacted via phone (323) 295-4555.

Contact Information

Primary practice address
5300 Angeles Vista Blvd View Park CA 90043-1648
Phone: (323) 295-4555
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Vocational Nurse 164X00000X VN716238 California

Profile Details

NPI number 1801463393
LBN Legal business name Fairclough, Jodivon Lee
Credentials Licensed Visiting Nurse (LVN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2021
Last updated Jun 4th, 2021 - about 3 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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