Individual
ROSENDA DENNETTE JEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
3801 MIRANDA AVE, PALO ALTO, CA 94304-1207
(650) 493-5000
Mailing address
586 ALTINO BLVD, SAN JOSE, CA 95136-4835
(650) 493-5000
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00045768
WA
Other
Enumeration date
12/04/2007
Last updated
12/04/2007
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