JERVIA ISHUM SIMON FICKENS

LEMOORE, CA
NPI1437497948
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: CA  22451)
Enumeration Date2013-01-18
Last Update Date2013-01-18
Business Address
Mr. JERVIA ISHUM SIMON FICKENS ANP
NAVAL HOSPITAL LEMOORE 937 FRANKLIN AVE
LEMOORE, CA 93246-5004
Phone number: 559-998-4208
Mailing Address
Mr. JERVIA ISHUM SIMON FICKENS ANP
NAVAL HOSPITAL LEMOORE 937 FRANKLIN AVE
LEMOORE, CA 93246-5004
Phone number: 559-998-4208
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