Individual
MISS JESSICA URIBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
117 N B ST, LOMPOC, CA 93436-6901
(805) 737-6619
(805) 737-6619
Mailing address
117 N B ST, LOMPOC, CA 93436-6901
(805) 737-6619
(805) 737-6619
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/23/2007
Last updated
08/23/2007
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