Individual
JESSICA TREVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3326 N FORDHAM AVE, FRESNO, CA 93727-8032
(559) 916-0020
Mailing address
3326 N FORDHAM AVE, FRESNO, CA 93727-8032
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN241933
CA
Other
Enumeration date
05/25/2011
Last updated
05/25/2011
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