Individual
JENNIFER GLORIA RICO YAMASHITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
23201 MILL CREEK DR, LAGUNA HILLS, CA 92653-7905
(951) 816-9189
Mailing address
23201 MILL CREEK DR, LAGUNA HILLS, CA 92653-7905
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95025611
CA
Other
Enumeration date
07/06/2023
Last updated
11/01/2023
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