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JODI BLADES LVN

>> Licensed Vocational Nurse >> Nursing Service Providers

Registrant NPI Number: 1932559309

Individual Registrant:
 JODI  BLADES LVN
Gender: F
Sole Proprietor

Location and contact information for practice:
1904 RICHLAND AVE  CERES, CA 95307-4562 US
Tel: 209-300-8800  Fax: --

Contact information for business:
1733 DALIA LN  MANTECA, CA 95337-8785 US
Tel: 209-640-3562  Fax: --

Registration Information:
NPI: 1932559309
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y164X00000XNursing Service Providers
Licensed Vocational Nurse
CA285373

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
164X00000XCA05




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