Individual
JUANITA ANN ORNELAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44 E CHILDS AVE, MERCED, CA 95341-6320
(209) 628-9326
Mailing address
44 E CHILDS AVE, MERCED, CA 95341-6320
(209) 628-9326
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN189895
CA
Other
Enumeration date
10/18/2016
Last updated
10/18/2016
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