Mayes James, Raven Shenette

Mayes James, Raven Shenette is an sole proprietor health care provider with primary practice located at 2275 E Mariposa Ave , El Segundo CA 90245-5029. She recently has 11 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Technician/Technologist, Other Service Providers / Military Health Care Provider, Other Service Providers / Driver, Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Nuclear Medicine, Ambulatory Health Care Facilities / Clinic/Center, Suppliers / Department of Veterans Affairs (VA) Pharmacy, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Mayes James, Raven Shenette can be contacted via phone (310) 426-6000.

Contact Information

Primary practice address
2275 E Mariposa Ave El Segundo CA 90245-5029
Fax:
Website:

Profile Details

NPI number 1558829721
LBN Legal business name Mayes James, Raven Shenette
Credentials ONA/MD/ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 6th, 2019
Last updated Jul 21st, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1558829721 NPPES
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