Individual
JAELYN DAVINA OXLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 MAPLE DR, WEISER, ID 83672-1566
(951) 907-5212
Mailing address
30 MAPLE DR, WEISER, ID 83672-1566
(951) 907-5212
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
CA
Other
Enumeration date
07/23/2021
Last updated
07/23/2021
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