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Individual

MR. JEREMY SCOTT HELMERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LVN

Contact information

Practice address
19120 SCHOENBORN ST, NORTHRIDGE, CA 91324-4246
(818) 857-9457
Mailing address
19120 SCHOENBORN ST, NORTHRIDGE, CA 91324-4246
(818) 857-9457

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
709084
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
D5038322
CA DRIVERS LICENSE
CA
Enumeration date
03/08/2022
Last updated
03/08/2022
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