Individual
JEAN VARDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
145 GLASSON WAY, GRASS VALLEY, CA 95945-7148
(530) 470-2425
Mailing address
145 GLASSON WAY, GRASS VALLEY, CA 95945-7148
(530) 470-2425
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
137878
CA
Other
Enumeration date
07/12/2016
Last updated
08/24/2016
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