Provost, Jackie
Provost, Jackie is an individual health care provider with primary practice located at 5849 Crocker St Unit K, Los Angeles CA 90003-1311. She recently has only one registered license in Other Service Providers / Health Educator, which is considered as her primary health care specialty. Provost, Jackie can be contacted via phone (323) 406-5784.Contact Information
Primary practice address
5849 Crocker St Unit K
Los Angeles CA 90003-1311
Phone: (323) 406-5784
Fax: (323) 233-2685
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Health Educator | 174H00000X |
Profile Details
| NPI number | 1346591963 |
|---|---|
| LBN Legal business name | Provost, Jackie |
| Credentials | MPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2012 |
| Last updated | Sep 21st, 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.
Popular Providers
-
Gates, Roxana
1520 San Pablo St 1St Floor, Los Angeles CA 90033-5310 -
Jimenez, Irma
5820 N Figueroa St , Los Angeles CA 90042-4228 -
Tobar, Elsy Noemy
1414 S Grand Ave Ste 200 , Los Angeles CA 90015-3067 -
Cornelio, Marisela
1414 S Grand Ave Ste 200 , Los Angeles CA 90015-3067 -
Cediel, Aidee
5820 N Figueroa St , Los Angeles CA 90042-4228 -
Consuegra, Daysi Del Carmen
1414 S Grand Ave Ste 200 , Los Angeles CA 90015-3067 -
Juma, Nadiya
5849 Crocker St Unit K, Los Angeles CA 90003-1311 -
Donosa, Nadine
3945 Whittier Blvd , Los Angeles CA 90023-2440