Individual
JEANNIE VALERIE MEZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14677 MERRILL AVE, FONTANA, CA 92335
(951) 643-2340
Mailing address
11720 HIGHGROVE CT, ADELANTO, CA 92301-4591
(909) 763-0082
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
286954
CA
Other
Enumeration date
01/14/2019
Last updated
01/14/2019
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