Individual
MRS. JACQLYN TAMARA JAMERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
357 W 44TH ST, #8, SAN BERNARDINO, CA 92407-3646
(909) 267-8809
Mailing address
357 W 44TH ST, #8, SAN BERNARDINO, CA 92407-3646
(909) 267-8809
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN200973
CA
Other
Enumeration date
09/23/2010
Last updated
09/23/2010
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