Individual
MS. JEANNE CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
597 CENTER AVE, MARTINEZ, CA 94553-4640
(925) 313-6638
Mailing address
597 CENTER AVE, MARTINEZ, CA 94553-4640
(925) 313-6638
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
358423
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N8726560
DRIVER'S LICENSE
CA
Enumeration date
11/13/2013
Last updated
11/13/2013
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