MEDICARE: JAMIE SUZETH ALEMAN LVN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164X00000X	Licensed Vocational Nurse	246273	CA

General Provider Information

NPI Number	:	1366852840
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMIE SUZETH ALEMAN LVN

Provider Business Mailing Address
First Line	:	755 ALAMITOS AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90813-4725
Country	:	US
Telephone Number	:	562-606-8478
Fax Number	:

Provider Business Practice Location Address
First Line	:	755 ALAMITOS AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90813-4725
Country	:	US
Telephone Number	:	562-606-8478
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/06/2014
Last Update Date	:	05/06/2014

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