Individual provider · Type 1 NPI

Jay Redada

Ambulatory Care Registered Nurse · Sylmar, CA

NPI number 1104346576 Active

Practice location

14445 Olive View Dr
Sylmar, CA 91342-1437

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Care Registered Nurse Primary 163WP2201X664878 (CA)

Ambulatory Care Registered Nurse: Definition to come...

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About NPI 1104346576

Jay Redada's National Provider Identifier is 1104346576, issued on Jun 26, 2017. The primary taxonomy on file is Ambulatory Care Registered Nurse (163WP2201X), and the practice location is in Sylmar, CA. The record was last updated on Jun 26, 2017.