Individual
JEREMY KIGIS SY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3904 ALVISO DR, MERCED, CA 95348-8414
(209) 233-9892
Mailing address
3904 ALVISO DR, MERCED, CA 95348-8414
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95000699
CA
Other
Enumeration date
06/17/2014
Last updated
06/17/2014
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