Individual
JAYNEL NORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14520 MISSION ST., CABAZON, CA 92230
(951) 849-2853
Mailing address
PO BOX 413, CABAZON, CA 92230-0413
(951) 849-2853
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
281656
CA
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
05/21/2014
Last updated
05/21/2014
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