Individual
JEANINE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 S GRAND AVE, GLENDORA, CA 91741-4211
(626) 857-0633
Mailing address
350 S MOUNTAIN AVE, CLAREMONT, CA 91711-5101
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
276231
CA
Other
Enumeration date
05/05/2023
Last updated
05/05/2023
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