person
Jesslyn Lena Grace Hodge, DDS
Student in an Organized Health Care Education/Training Program in Los Angeles, California
NPI 1679158356

Jesslyn Lena Grace Hodge is a Student in an Organized Health Care Education/Training Program based in Los Angeles, CA. Jesslyn Lena Grace Hodge practices in Los Angeles, CA and has the professional credentials of DDS. The NPI Number for Jesslyn Lena Grace Hodge is 1679158356 and holds a License No. (California).

The current practice location address for Jesslyn Lena Grace Hodge is 5200 Wilshire Blvd Apt 494, Los Angeles, CA and can be reached out via phone at 310-489-9208.

Location: 5200 Wilshire Blvd Apt 494, Los Angeles, CA, 90036-4886
person
Provider Profile Details
NPI Number
1679158356
Provider Name
Jesslyn Lena Grace Hodge
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
5200 Wilshire Blvd Apt 494, Los Angeles, CA, 90036-4886
Phone Number
310-489-9208
Fax Number
Provider Enumeration Date
03/14/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5200 Wilshire Blvd Apt 494
City
State
Zip
90036-4886
Phone Number
310-489-9208
Fax Number
person
Provider Business Mailing Address Details
Address
5200 Wilshire Blvd Apt 494
City
State
Zip
90036-4886
Phone Number
310-489-9208
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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