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Individual

MRS. JAIMEE RIZA B HARE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
8382 CAPRICORN WAY APT 9, SAN DIEGO, CA 92126-1892
(312) 560-0353
Mailing address
8382 CAPRICORN WAY APT 9, SAN DIEGO, CA 92126-1892
(312) 560-0353

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
729078
CA
363LA2200X
Adult Health Nurse Practitioner
Primary
21925
CA
364S00000X
Clinical Nurse Specialist
3792
CA

Other

Enumeration date
10/30/2012
Last updated
10/30/2012
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