Mosson, Jennifer Fay

Mosson, Jennifer Fay is an individual health care provider with primary practice located at 233 Baseline Rd , La Verne CA 91750-2353. She recently has only one registered license in Nursing Service Providers / Licensed Psychiatric Technician, which is considered as her primary health care specialty. Mosson, Jennifer Fay can be contacted via phone (909) 593-2581.

Contact Information

Primary practice address
233 Baseline Rd La Verne CA 91750-2353
Phone: (909) 593-2581
Fax: (909) 596-3567
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Psychiatric Technician 167G00000X PT34218 California

Profile Details

NPI number 1235492612
LBN Legal business name Mosson, Jennifer Fay
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2012
Last updated Jun 20th, 2012 - about 13 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 1235492612 NPPES
California Other 7565A OUTPATIENT MENTAL HEALTH

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