Individual
JAMIE J MCMAINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
VN203316
Contact information
Practice address
1901 CLEVELAND AVE, SUITE B, SANTA ROSA, CA 95401-4282
(707) 576-0818
(707) 576-7845
Mailing address
1901 CLEVELAND AVE, SUITE B, SANTA ROSA, CA 95401-4282
(707) 576-0818
(707) 576-7845
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN203316
CA
Other
Enumeration date
01/15/2010
Last updated
01/15/2010
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