Individual
JERA ELLEN ELKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.V.N.
Contact information
Practice address
39620 BONAIRE WAY, MURRIETA, CA 92563-2550
(951) 816-0294
Mailing address
39620 BONAIRE WAY, MURRIETA, CA 92563-2550
(951) 816-0294
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN 98249
CA
Other
Enumeration date
01/28/2013
Last updated
01/28/2013
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