Tselane Edina Jackosn LVN

NPI 1215062435 - Licensed Vocational Nurse - 164X00000X

NPI Details
NPI 1215062435
Gender Female
Enumeration Date 02/21/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
10620 SUNBURST DR
RANCHO CUCAMONGA CA, 91730-6309, US
Phone (909) 944-3042
Fax (909) 944-3042
Business Location
10620 SUNBURST DR
RANCHO CUCAMONGA CA, 91730-6309, US
Phone (909) 944-3042
Fax (909) 944-3042
Toxanomy
Taxonomy Code 164X00000X
License State California
License Number 215086
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According to our database, Ms. Tselane Edina Jackosn LVN NPI is 1215062435, taxonomy code is 164X00000X and license number is 215086, license state is located at California. Tselane Edina Jackosn LVN physically located at 10620 Sunburst Dr, Rancho Cucamonga CA, 91730-6309. NPI Number Tselane Edina Jackosn LVN has the Individual type.

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1215062435 NPI number is provided on an as is basis without warranty of any kind. 1215062435 is maintained by the National Plan & Provider Enumeration System. The contents of Tselane Edina Jackosn LVN are for informational purposes only.