Individual
JAZMIN VILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
955 W CENTER ST, MANTECA, CA 95337-7300
(209) 407-1090
Mailing address
955 W CENTER ST, MANTECA, CA 95337-7300
(209) 407-1090
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN727295
AR
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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