Individual
JAMEE CENTENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
405 W 5TH ST, SANTA ANA, CA 92701-4599
(562) 449-5016
Mailing address
14837 THORNLAKE AVE, NORWALK, CA 90650-6064
(562) 449-5016
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
561521
CA
Other
Enumeration date
05/04/2022
Last updated
05/04/2022
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