Individual
JOLENE JESSICA LOBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1921 STONECIPHER DR, ADA, OK 74820-3439
(800) 851-9136
Mailing address
1400 FLORIDA AVE STE 102, MODESTO, CA 95350-4446
(505) 417-2579
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/24/2023
Last updated
07/17/2024
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