Individual provider · Type 1 NPI

Maria Corazon Jose Jara, RN, PHN

Administrator Registered Nurse · Pasadena, CA

NPI number 1518175033 Active

Practice location

1845 N Fair Oaks Ave
Pasadena, CA 91103-1620

Call (626) 744-6005 Map

Fax (626) 744-6115

Mailing address

430 Milton Dr
San Gabriel, CA 91775-2823

Specialties and licenses

Taxonomy	Code	License
Administrator Registered Nurse Primary	163WA2000X	RN288512 (CA)

Administrator Registered Nurse: Definition to come...

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About NPI 1518175033

Maria Corazon Jose Jara, RN, PHN's National Provider Identifier is 1518175033, issued on May 18, 2007. The primary taxonomy on file is Administrator Registered Nurse (163WA2000X), and the practice location is in Pasadena, CA. The record was last updated on Jul 8, 2007.