Individual
JULIANNE VAN DAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
3910 W BEECHWOOD AVE APT 104, FRESNO, CA 93711-0676
(661) 330-7240
Mailing address
3910 W BEECHWOOD AVE APT 104, FRESNO, CA 93711-0676
(661) 330-7240
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
274875
CA
Other
Enumeration date
11/21/2015
Last updated
11/21/2015
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