Individual
JENNIFER MOANI KAHAU-SEGOVIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
301 S FAIR OAKS AVE STE 405, PASADENA, CA 91105-2562
(626) 440-7325
Mailing address
301 S FAIR OAKS AVE STE 405, PASADENA, CA 91105-2562
(626) 440-7325
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F10191161
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
DO NOT HAVE AT THIS TIME
—
Enumeration date
01/25/2020
Last updated
05/12/2020
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