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Individual

JYESHA ISIS WREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM, WHNP, RN

Contact information

Practice address
2721 COMSTOCK CIR, BELMONT, CA 94002-2904
(831) 713-6602
Mailing address
2721 COMSTOCK CIR, BELMONT, CA 94002-2904
(831) 713-6602

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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