Individual
GINA J YAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
17074 COLIMA RD APT 306, HACIENDA HEIGHTS, CA 91745-6782
(909) 348-2329
Mailing address
17074 COLIMA RD APT 306, HACIENDA HEIGHTS, CA 91745-6782
(909) 348-2329
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
805817
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95002438
CA
Other
Enumeration date
07/28/2023
Last updated
10/01/2024
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