Individual
JILL ANN RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.V.N.
Contact information
Practice address
47915 OASIS ST, INDIO, CA 92201-6950
(760) 863-8600
Mailing address
47915 OASIS ST, INDIO, CA 92201-6950
(760) 863-8600
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN 193142
CA
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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