Individual
MISS JENNIFER HAYLEY AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
12524 DOUGLAS ST, YUCAIPA, CA 92399-4823
(949) 439-1002
Mailing address
PO BOX 1576, YUCAIPA, CA 92399-1436
(949) 439-1002
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
690732
CA
Other
Enumeration date
11/30/2019
Last updated
11/30/2019
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