Individual
JON ROBERT JOSCELYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3858 MARY ANN LN, WESTWOOD, CA 96137-9500
(530) 596-4811
Mailing address
3858 MARY ANN LANE, WESTWOOD, CA 96137
(530) 596-4811
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
RN68920
NV
163WE0003X
Emergency Registered Nurse
Primary
RN68920
NV
Other
Enumeration date
05/23/2013
Last updated
05/23/2013
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