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Individual

JENNIFER ANNE SISON MARIANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, CWOCN, WCC

Contact information

Practice address
26542 BROOKS CIR, STEVENSON RANCH, CA 91381-1432
(661) 312-4956
Mailing address
26542 BROOKS CIR, STEVENSON RANCH, CA 91381-1432
(661) 312-4956

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
607624
CA
163WC2100X
Continence Care Registered Nurse
607624
CA
163WE0900X
Enterostomal Therapy Registered Nurse
607624
CA
163WH0200X
Home Health Registered Nurse
607624
CA
163WP2201X
Ambulatory Care Registered Nurse
607624
CA
163WW0000X
Wound Care Registered Nurse
Primary
607624
CA
163WX1500X
Ostomy Care Registered Nurse
607624
CA

Other

Enumeration date
05/15/2018
Last updated
05/15/2018
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