Individual
JESSICA CHARLENE NUNEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1700 MCHENRY VILLAGE WAY, SUITE 11B, MODESTO, CA 95350-4341
(209) 550-5850
Mailing address
1700 MCHENRY VILLAGE WAY STE 11B, MODESTO, CA 95350-4341
(209) 550-5850
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
707834
CA
Other
Enumeration date
12/17/2019
Last updated
12/17/2019
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