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Mr. Jimmy Mack Im
Licensed Vocational Nurse in San Gabriel, California
NPI 1962876847

Jimmy Mack Im is a Licensed Vocational Nurse based in San Gabriel, CA. Jimmy Mack Im practices in San Gabriel, CA. The NPI Number for Jimmy Mack Im is 1962876847 and holds a License No. 292252 (California).

The current practice location address for Jimmy Mack Im is 4938 N Muscatel Ave, San Gabriel, CA and can be reached out via phone at 626-228-9201.

Location: 4938 N Muscatel Ave, San Gabriel, CA, 91776-2142
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962876847
Provider Name
Jimmy Mack Im
Credential
Provider Entity Type
Individual
Gender
Male
Address
4938 N Muscatel Ave, San Gabriel, CA, 91776-2142
Phone Number
626-228-9201
Fax Number
Provider Enumeration Date
11/16/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4938 N Muscatel Ave
City
San Gabriel
State
California
Zip
91776-2142
Phone Number
626-228-9201
Fax Number
person
Provider Business Mailing Address Details
Address
4938 N Muscatel Ave
City
San Gabriel
State
California
Zip
91776-2142
Phone Number
626-228-9201
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Vocational Nurse
Speciality
-
Taxonomy
164X00000X
License No.
292252 (California)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
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