MRS. MARIA CORAZON JOSE JARA RN, PHN
Nursing Yellow Pages
Pasadena, California
Provider NPI: 1518175033
Provider Information:MRS. MARIA CORAZON JOSE JARA RN, PHN
Practice Location:
1845 N FAIR OAKS AVE PASADENA, CA 91103 US
Tel: 626-744-6005 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 163WA2000X | Nursing Service Providers Registered Nurse Administrator | CA | RN288512 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
LICENSE NUMBER | RN288512 | CA | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin