Individual
JAYMIE AMBER MOSHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
380 ENCINAL ST STE 200, SANTA CRUZ, CA 95060-2178
(831) 469-1700
(831) 425-1905
Mailing address
380 ENCINAL ST STE 200, SANTA CRUZ, CA 95060-2178
(831) 469-1700
(831) 425-1905
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
271331
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
271331
BOARD OF VOCATIONAL NURSING & PSYCHIATRIC TECHNICIANS
CA
Enumeration date
02/17/2021
Last updated
02/24/2021
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