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NPI Code Detail

MEDICARE: JOCELYN CAROL NUNEZ

MEDICARE: JOCELYN CAROL NUNEZ
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
11041C0700XClinical Social Worker124753CA

General Provider Information

NPI Number : 1952980799
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOCELYN CAROL NUNEZ
Provider Business Mailing Address
First Line : 658 E BRIER DR STE 200
Second Line :
City : SAN BERNARDINO
State : CA
Zip : 92418-0936
Country : US
Telephone Number : 909-501-0700
Fax Number :
Provider Business Practice Location Address
First Line : 658 E BRIER DR STE 200
Second Line :
City : SAN BERNARDINO
State : CA
Zip : 92418-5229
Country : US
Telephone Number : 909-501-0700
Fax Number : 909-387-7611
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2021
Last Update Date : 01/24/2025

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Directions to “ JOCELYN CAROL NUNEZ ” Practice Location

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