Individual
MRS. JACQUELYN JAZMINE RENDON RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
4441 E KINGS CANYON RD, FRESNO, CA 93702-3604
(559) 512-8335
Mailing address
4441 E KINGS CANYON RD, FRESNO, CA 93702-3604
(559) 512-8335
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN722205
CA
Other
Enumeration date
12/28/2021
Last updated
12/28/2021
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