Individual
MS. JANICE FAY KEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1920 FORANE ST, BARSTOW, CA 92311-5717
(760) 380-3185
Mailing address
1920 FORANE ST, BARSTOW, CA 92311-5717
(760) 380-3185
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
221035
CA
Other
Enumeration date
10/30/2008
Last updated
10/30/2008
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