Individual
JENEE PATRICIA ENLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
338 FALLINGSTAR, IRVINE, CA 92614-7569
(949) 302-0701
Mailing address
338 FALLINGSTAR, IRVINE, CA 92614-7569
(949) 302-0701
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN240471
CA
Other
Enumeration date
03/15/2012
Last updated
03/15/2012
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