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Individual

MRS. JANE M. DOETSCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
3310 LYNWOOD DR, HIGHLAND, CA 92346-1872
(909) 425-1180
Mailing address
3310 LYNWOOD DR, HIGHLAND, CA 92346-1872
(909) 425-1180

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
193046
CA
363LF0000X
Family Nurse Practitioner
193046
CA

Other

Enumeration date
03/01/2007
Last updated
05/01/2020
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