Individual
JOHVONNA JENELL COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 N PALM CANYON DR STE A4, PALM SPRINGS, CA 92262-1866
(442) 268-7000
Mailing address
1775 E PALM CANYON DR STE 110, PALM SPRINGS, CA 92264-1623
(442) 268-7000
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
233817
CA
Other
Enumeration date
04/05/2018
Last updated
04/05/2018
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