Individual
JENISE HAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPC
Contact information
Practice address
25825 VERMONT AVE, HARBOR CITY, CA 90710-3518
(310) 517-2990
Mailing address
25825 VERMONT AVE, HARBOR CITY, CA 90710-3518
(310) 517-2990
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
12621
CA
Other
Enumeration date
01/24/2007
Last updated
12/21/2021
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