Individual
JEAN SHERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
23406 CREST FOREST DR, CRESTLINE, CA 92325
(909) 338-4689
Mailing address
PO BOX 6556, CRESTLINE, CA 92325-6556
(909) 237-8242
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
264634
CA
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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