Individual
JACLYN YVETTTE FRIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40 E MINARETS AVE, PINEDALE, CA 93650-1239
(559) 436-0482
Mailing address
40 E MINARETS AVE, PINEDALE, CA 93650-1239
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
691571
CA
Other
Enumeration date
11/03/2017
Last updated
11/03/2017
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