Jaishawn Lenna Brock
Jaishawn Lenna Brock is an Attendant Care Provider in Long Beach, California. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
1160 E South St Apt 2Long Beach, CA 90805-4141
Phone: (562) 850-6496
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Attendant Care Provider (primary) | Taxonomy 3747A0650X |
|---|
Record details
| NPI number | 1811527245 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 24, 2020 |
| Last updated in NPPES | January 24, 2020 |
| Certification date | January 24, 2020 |
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