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Individual

MS. LERIN MORIAH JARACZEWSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
3618 S PARKER ST, SAN PEDRO, CA 90731-6462
(310) 909-4959
Mailing address
3618 S PARKER ST, SAN PEDRO, CA 90731-6462
(310) 909-4959

Taxonomy

Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
Primary
687045
CA
163WP1700X
Perinatal Registered Nurse
687045
CA
163WW0101X
Ambulatory Women's Health Care Registered Nurse
687045
CA

Other

Enumeration date
06/15/2020
Last updated
06/15/2020
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