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Waylon Jaime

NPI 1619635000 · on the registry since 2021

Practice

Address
5849 Crocker St
Los Angeles, CA 90003
Phone
(323) 432-4399
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
Driver
172A00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-12-02

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