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Individual

MRS. JANET ELAINE HAWTHORNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, NP

Contact information

Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(909) 558-4000
Mailing address
857 OCEAN DR SW, BANDON, OR 97411-9518
(541) 347-2277

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
7815
CA

Other

Enumeration date
04/02/2007
Last updated
07/08/2007
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