Individual
MRS. JANINE KLAIR TARCULAS ACOBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CNS, ACNP-BC
Contact information
Practice address
22003 S VERMONT AVE APT 30, TORRANCE, CA 90502-2123
(951) 543-6148
Mailing address
22003 S VERMONT AVE APT 30, TORRANCE, CA 90502-2123
(951) 543-6148
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
651778
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
21173
CA
364S00000X
Clinical Nurse Specialist
3650
CA
Other
Enumeration date
07/01/2009
Last updated
02/09/2012
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