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Individual
MS. JOETTA LYNN SOLOMON
Active
Individual
MS. JOETTA LYNN SOLOMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
13188
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EAP70324F
EAPC
CA
05
—
HAP71040F
—
CA
01
—
ZZZ31887Z
GROUP PTAN
CA
Enumeration date
04/23/2007
Last updated
11/07/2012
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