Jessica Chicoine

NPI 1366834624 · on the registry since 2015 · sole proprietor

Practice

Address: 9430 Lake St
Lower Lake, CA 95457
Phone: (707) 994-6471
Organisation at this address: Lake County Office Of Education
Konocti Unified School District
Adventist Health Clearlake Hospital, Inc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2021-03-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California