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NPI Code Detail

MEDICARE: JAMI LOUISE GEANES LVN

MEDICARE: JAMI LOUISE GEANES LVN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164X00000XLicensed Vocational Nurse216798CA

General Provider Information

NPI Number : 1588676118
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMI LOUISE GEANES LVN
Provider Business Mailing Address
First Line : 29650 BRADLEY RD STE A
Second Line :
City : MENIFEE
State : CA
Zip : 92586-6521
Country : US
Telephone Number : 951-672-8226
Fax Number : 951-672-1101
Provider Business Practice Location Address
First Line : 29650 BRADLEY RD STE A
Second Line :
City : MENIFEE
State : CA
Zip : 92586-6521
Country : US
Telephone Number : 951-672-8226
Fax Number : 951-672-1101
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2006
Last Update Date : 01/04/2022

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