Individual
JEANETTE BALDONADO BOTWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, CPNP
Contact information
Practice address
1201 W LA VETA AVE, ORANGE, CA 92868-4203
(888) 770-2462
Mailing address
4440 BROCKTON AVE STE 420, RIVERSIDE, CA 92501-4026
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
6894281
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
95004133
CA
Other
Enumeration date
07/07/2015
Last updated
10/15/2024
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