Individual
JILL PUTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2731 NUGGETT AVE., LAKE ISABELLA, CA 93240
(760) 379-3412
(760) 379-5332
Mailing address
PO BOX 2632, LAKE ISABELLA, CA 93240-2632
(760) 379-3412
(760) 379-5332
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN211232
CA
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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