Individual
JANAE MECOLE SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1481 WINDSOR DR, SAN BERNARDINO, CA 92404-5416
(909) 361-6472
(909) 203-7403
Mailing address
11340 ESTATES CT, RIVERSIDE, CA 92503-0639
(951) 756-1161
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95164081
CA
Other
Enumeration date
04/22/2019
Last updated
04/22/2019
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