Individual
ELOIS JEAN BERNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
6500 PALM DR, CARMICHAEL, CA 95608-4542
(916) 402-0545
Mailing address
368 YAMPA CIR, SACRAMENTO, CA 95838-2540
(916) 402-0545
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN143957
CA
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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