Individual
JANE HAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, PHN
Contact information
Practice address
4025 PORTE DE PALMAS UNIT 76, SAN DIEGO, CA 92122-5112
(858) 405-9604
Mailing address
4025 PORTE DE PALMAS UNIT 76, SAN DIEGO, CA 92122-5112
(858) 405-9604
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95342581
CA
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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