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JON ROBERT JOSCELYN RN

Addiction (Substance Use Disorder) >> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1992142434

Individual Registrant:
 JON ROBERT JOSCELYN RN
Gender: M
Sole Proprietor

Location and contact information for practice:
3858 MARY ANN LN  WESTWOOD, CA 96137-9500 US
Tel: 530-596-4811  Fax: --

Contact information for business:
3858 MARY ANN LANE  WESTWOOD, CA 96137 US
Tel: 530-596-4811  Fax: --

Registration Information:
NPI: 1992142434
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N163WA0400XNursing Service Providers
Registered Nurse
Addiction (Substance Use Disorder)
NVRN68920
Y163WE0003XNursing Service Providers
Registered Nurse
NVRN68920

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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