Jaime, Waylon Anthony

Jaime, Waylon Anthony is an individual health care provider with primary practice located at 5849 Crocker St , Los Angeles CA 90003-1311. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Jaime, Waylon Anthony can be contacted via phone (323) 432-4399.

Contact Information

Primary practice address
5849 Crocker St Los Angeles CA 90003-1311
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X E3080207 California

Profile Details

NPI number 1619635000
LBN Legal business name Jaime, Waylon Anthony
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2021
Last updated Dec 2nd, 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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