Individual
JEANETTE LEE MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12240 HESPERIA RD STE A, VICTORVILLE, CA 92395-8309
(760) 245-8837
Mailing address
12240 HESPERIA RD STE A, VICTORVILLE, CA 92395-8309
(760) 245-8837
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
31992
CA
Other
Enumeration date
08/31/2022
Last updated
08/31/2022
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