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Individual

MISS ILSE JAZMIN TEJEDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA, PA-C

Contact information

Practice address
415 E. OLIVE AVE STE 1, TURLOCK, CA 95380
(209) 633-7402
(209) 633-6168
Mailing address
415 E. OLIVE AVE STE 1, TURLOCK, CA 95380
(209) 633-7402
(209) 633-6168

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
CA

Other

Enumeration date
01/02/2020
Last updated
03/22/2021
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