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Individual

MS. JAYNE MARY HORNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.V.N.

Contact information

Practice address
918 10TH ST APT 2, CORONADO, CA 92118-2853
(619) 435-3836
Mailing address
4015 CHARLES ST, LA MESA, CA 91941-7518
(619) 672-1511

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN229993
CA

Other

Enumeration date
05/03/2009
Last updated
05/03/2009
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