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Individual

MISS JEANELLE NICOLE SWINNEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
15095 AMARGOSA RD, SUITE201, VICTORVILLE, CA 92394-1879
(760) 245-4695
(760) 513-4676
Mailing address
15095 AMARGOSA RD, SUITE201, VICTORVILLE, CA 92394-1879
(760) 245-4695
(760) 513-4676

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
04/24/2012
Last updated
08/06/2015
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