Jesse Ray Tarin, LVN | |
23155 Guinea St, Lake Forest, CA 92630-3829 | |
(949) 922-9843 | |
Not Available |
Full Name | Jesse Ray Tarin |
---|---|
Gender | Male |
Speciality | Licensed Practical Nurse |
Location | 23155 Guinea St, Lake Forest, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730782665 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 289991 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Jesse Ray Tarin, LVN 23155 Guinea St, Lake Forest, CA 92630-3829 Ph: (949) 922-9843 | Jesse Ray Tarin, LVN 23155 Guinea St, Lake Forest, CA 92630-3829 Ph: (949) 922-9843 |
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