Individual
JONNELL MYREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
11234 ANDERSON ST, ROOM 6700H, LOMA LINDA, CA 92354-2804
(909) 558-8514
Mailing address
11234 ANDERSON ST, ROOM 6700H, LOMA LINDA, CA 92354-2804
(909) 558-8514
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
20717
CA
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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