Individual
MRS. MARIA CORAZON JOSE JARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PHN
Contact information
Practice address
1845 N FAIR OAKS AVE, PASADENA, CA 91103-1620
(626) 744-6005
(626) 744-6115
Mailing address
430 MILTON DR, SAN GABRIEL, CA 91775-2823
(626) 744-6041
(626) 744-6115
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
RN288512
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN288512
LICENSE NUMBER
CA
Enumeration date
05/18/2007
Last updated
07/08/2007
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