Organization · Type 2 NPI
Mac Jane Inc
Psychiatric/Mental Health Nurse Practitioner · Cerritos, CA
NPI number
1093469009
Active
Practice location
11200 Lucas St
Cerritos, CA 90703-1626
Mailing address
PO Box 1214
Artesia, CA 90702-1214
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1093469009
Mac Jane Inc's National Provider Identifier is 1093469009, issued on Feb 8, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Cerritos, CA. The record was last updated on Feb 11, 2022.