Individual
JESSICA MICEL MROWCZYNSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15248 ELEVENTH ST, VICTORVILLE, CA 92395-3704
(760) 843-6099
Mailing address
9594 TANZANITE AVE, HESPERIA, CA 92344-8094
(323) 229-8885
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95033528
CA
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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