Individual
MR. JEFFRY V UECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
206 WILLIAMS DR, CRESCENT CITY, CA 95531-8301
(707) 464-7224
Mailing address
220 W CONDOR ST, CRESCENT CITY, CA 95531-3343
(707) 464-5159
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN 172944
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VN 172944
LICENSE VOCATIONAL NURSE
CA
Enumeration date
03/29/2007
Last updated
07/08/2007
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