Individual
JESSICA LEE MATLOCK-JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 E 13TH ST STE D, MERCED, CA 95341-6211
(209) 386-1096
Mailing address
301 E 13TH ST STE D, MERCED, CA 95341-6211
(209) 386-1096
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
710367
CA
Other
Enumeration date
12/18/2025
Last updated
12/18/2025
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