Individual
MRS. JOANNE KELLY BARRIENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
29231 CASTLE COVE CT, ROMOLAND, CA 92585-2616
(951) 672-0643
Mailing address
29231 CASTLE COVE CT, ROMOLAND, CA 92585-2616
(951) 672-0643
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
217684
CA
Other
Enumeration date
12/04/2008
Last updated
12/04/2008
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