Individual
MR. JEFFREY DEAN LEMOINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
150 MUIR RD, MARTINEZ, CA 94553-4668
(916) 843-9022
Mailing address
PO BOX 981, SAN LUIS OBISPO, CA 93406-0981
(805) 698-2659
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN 168763
CA
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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