Jodivon Lee Fairclough, LVN
NPI #1801463393 in View Park, California
Provider Information
- NPI Number
- 1801463393
- Entity Type
- Individual
- Name
- Jodivon Lee Fairclough, LVN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Vocational Nurse
- Credential
- LVN
- Enumeration Date
- Jun 4, 2021
- Last Updated
- Jun 4, 2021
Practice Location
- Address
- 5300 ANGELES VISTA BLVD
- City
- View Park
- State
- California
- ZIP Code
- 90043-1648
- Phone
- (323) 295-4555
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Vocational Nurse |
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