Individual
JAIME CORTEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
300 E 15TH ST STE B, MERCED, CA 95341-6217
(209) 381-6879
Mailing address
PO BOX 2087, MERCED, CA 95344-0087
(209) 381-6879
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
704207
CA
164X00000X
Licensed Vocational Nurse
714207
CA
Other
Enumeration date
01/21/2020
Last updated
10/27/2020
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