JAISHAWN BROCK

Technician - Attendant Care Provider

Active Individual
NPI: 1811527245

Practice Address

1160 E SOUTH ST APT 2
Long Beach, CA 90805

Phone: (562) 850-6496

Specialties

Specialty Code Primary License
Technician - Attendant Care Provider 3747A0650X Yes -

Frequently Asked Questions

NPI 1811527245 is the National Provider Identifier for JAISHAWN BROCK, a Technician - Attendant Care Provider provider located in Long Beach, CA. This NPI was enumerated on January 24, 2020.
JAISHAWN BROCK practices at 1160 E SOUTH ST APT 2, Long Beach, CA 90805.

Quick Facts

NPI
1811527245
Type
Individual
Enumerated
Jan 24, 2020
Last Updated
Jan 24, 2020

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