JERRY DEWAYNE HOUSTON

LOMA LINDA, CA
NPI1952550600
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: CA  198830)
Enumeration Date2008-09-17
Last Update Date2008-09-17
Business Address
-- JERRY DEWAYNE HOUSTON LVN
11201 BENTON ST
LOMA LINDA, CA 92357-1000
Phone number: 909-825-7084
Mailing Address
-- JERRY DEWAYNE HOUSTON LVN
11201 BENTON ST
LOMA LINDA, CA 92357-1000
Phone number:
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