Most Relevant Information
Provider Data
| NPI Number: | 1003685736 |
| Provider Name: | JESSICA ANGELA SOLIS SUDCR#16758 |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 16758 |
Most Important Dates
| Enumeration Date: | 12/21/2023 |
| Last Updated: | 01/11/2024 |
Provider Practice Location
155 BIMINI PL
LOS ANGELES
CA
900045902
Practice Location Phone/Fax
| Phone: | 2133885423 |
| Fax: |
Provider Mailing Location
155 BIMINI PL
LOS ANGELES
CA
900045902
Provider Mailing Phone/Fax
| Phone: | 2133885423 |
| Fax: |