Individual
JODY ROBEN PATHARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
455 S MAIN ST, NEUROSCIENCE INSTITUTE 5TH FLOOR, ORANGE, CA 92868-3835
(714) 289-4151
(714) 997-3758
Mailing address
1201 W LA VETA AVE, SUITE 101, ORANGE, CA 92868-4213
(714) 633-0942
(714) 633-7110
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
16259
CA
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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