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Individual
JYESHA ISIS WREN
Active
Individual
JYESHA ISIS WREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, WHNP, RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
849517
CA
363LW0102X
Women's Health Nurse Practitioner
95003564
CA
367A00000X
Advanced Practice Midwife
Primary
235777
CA
Other
Enumeration date
12/22/2015
Last updated
12/22/2015
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