Provider Demographics
NPI:1356589014
Name:CALANDRI, JAYME JO (LVN)
Entity type:Individual
Prefix:MRS
First Name:JAYME
Middle Name:JO
Last Name:CALANDRI
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:MS
Other - First Name:JAYME
Other - Middle Name:JO
Other - Last Name:SOTO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3133 N MILLBROOK AVE.
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93703
Mailing Address - Country:US
Mailing Address - Phone:559-453-5784
Mailing Address - Fax:
Practice Address - Street 1:3333 E. AMERICAN AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93725
Practice Address - Country:US
Practice Address - Phone:559-495-3753
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-03
Last Update Date:2009-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN232268164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse