Individual
MRS. JACQUELYNE MARIE GARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
5525 E MCKENZIE AVE, FRESNO, CA 93727-3305
(559) 355-3258
Mailing address
240 N 12TH AVE STE 109, HANFORD, CA 93230-5996
(559) 355-3258
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
241563
CA
Other
Enumeration date
10/09/2021
Last updated
10/09/2021
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