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Individual

MISS JEANETTE MARY HARRISON

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MSN, CCNS

Contact information

Practice address
2315 STOCKTON BLVD ROOM 4302, UC DAVIS, MEDICAL CENTER, SACRAMENTO, CA 95817
(916) 703-3505
(916) 734-1656
Mailing address
7610 DUNBLANE WAY, ELK GROVE, CA 95758-1015
(916) 703-3505
(916) 734-1656

Taxonomy

Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
RN377552
CA

Other

Enumeration date
11/22/2005
Last updated
07/08/2007
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