Search › California › 164X00000X
Jamie Detels, LVN
NPI 1700766748 · on the registry since 2025
Practice
- Address
- 1687 Yulupa Ave
Santa Rosa, CA 95405 - Phone
- (707) 546-6183
- Fax
- (707) 528-8027
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 164X00000X
164X00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-09-02
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