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Individual
JENNIFER PANUELOS ISORENA
Active
Individual
JENNIFER PANUELOS ISORENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN696986
CA
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
696986
CA
363LF0000X
Family Nurse Practitioner
Primary
NP19700
CA
Other
Enumeration date
09/12/2011
Last updated
11/14/2017
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