Individual
JAMIE PREHEIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
539 N VAN NESS AVE, FRESNO, CA 93728-3419
(559) 266-9581
(559) 498-0507
Mailing address
539 N VAN NESS AVE, FRESNO, CA 93728-3419
(559) 266-9581
(559) 498-0507
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
215447
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
215447
LVN LICENSE
CA
Enumeration date
04/19/2023
Last updated
04/19/2023
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