Individual
JAMIE LEE FERREIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12021 JACARANDA AVE, HESPERIA, CA 92345-4978
(760) 956-5057
Mailing address
7917 LA CROSSE WAY, RIVERSIDE, CA 92508-6143
(951) 966-8993
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
798259
CA
Other
Enumeration date
03/12/2021
Last updated
03/12/2021
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