Individual provider · Type 1 NPI
Imee Laurenaria Janaban
Gerontology Nurse Practitioner · Manteca, CA
NPI number
1891623211
Active
Practice location
2754 Cobbler St
Manteca, CA 95337-8723
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 95038734 (CA) |
Gerontology Nurse Practitioner: Definition to come...
About NPI 1891623211
Imee Laurenaria Janaban's National Provider Identifier is 1891623211, issued on May 13, 2026. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Manteca, CA. The record was last updated on May 13, 2026.