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Jackie Provost, MPH
NPI 1346591963 · on the registry since 2012
Practice
- Address
- 5849 Crocker St
Unit K
Los Angeles, CA 90003 - Phone
- (323) 406-5784
- Fax
- (323) 233-2685
- Organisation at this address
- Special Service For Groups, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 242
Registry record
- Primary taxonomy
- Health Educator
174H00000X
- Sex
- Female
- Record last updated
- 2012-09-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California