Provider Demographics
NPI:1922301290
Name:JAMES, ALICE ELIZABETH (RN)
Entity Type:Individual
Prefix:
First Name:ALICE
Middle Name:ELIZABETH
Last Name:JAMES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:803 E VICTORIA ST UNIT 132
Mailing Address - Street 2:
Mailing Address - City:CARSON
Mailing Address - State:CA
Mailing Address - Zip Code:90746-6704
Mailing Address - Country:US
Mailing Address - Phone:310-354-2939
Mailing Address - Fax:310-354-2939
Practice Address - Street 1:546 W COMPTON BLVD
Practice Address - Street 2:
Practice Address - City:COMPTON
Practice Address - State:CA
Practice Address - Zip Code:90220-3011
Practice Address - Country:US
Practice Address - Phone:310-885-2117
Practice Address - Fax:310-537-9653
Is Sole Proprietor?:No
Enumeration Date:2010-12-08
Last Update Date:2010-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA250177163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse