Individual
JENNY GISELA ESTEVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
233 W. BASELINE RD, BOX 400, LAVERNE, CA 91750
(909) 833-2986
Mailing address
233 W. BASELINE RD, BOX 400, LA VERNE, CA 91750
(909) 833-2986
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
610091
CA
Other
Enumeration date
11/29/2017
Last updated
11/29/2017
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