Individual
JEN LEMELIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1001 POTRERO AVE, SAN FRANCISCO, CA 94110-3518
(415) 206-8111
Mailing address
3205 CANYON CREEK LN, SANTA ROSA, CA 95404-8406
(707) 539-5787
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
20431
CA
Other
Enumeration date
03/02/2011
Last updated
03/02/2011
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