Individual
JESSICA ANNA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
539 MITCHELL AVE, TURLOCK, CA 95380-4043
(209) 485-2379
Mailing address
539 MITCHELL AVE, TURLOCK, CA 95380-4043
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
690909
CA
Other
Enumeration date
06/13/2017
Last updated
06/13/2017
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