JENELLE IM

FAIRFIELD, CA
NPI1194573402
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: CA  686758)
Enumeration Date2024-05-10
Last Update Date2024-05-10
Business Address
JENELLE IM
2101 COURAGE DR
FAIRFIELD, CA 94533-6717
Phone number: 707-428-1131
Mailing Address
JENELLE IM
2101 COURAGE DR
FAIRFIELD, CA 94533-6717
Phone number:
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