Individual
MS. CYNTHIA MICHELLE GANANIAN-JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3166 LAKEVIEW DR., NICE, CA 95464
(707) 274-8955
(707) 274-6791
Mailing address
PO BOX 533, NICE, CA 95464-0533
(707) 274-8955
(707) 274-6791
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN 309244
CA
Other
Enumeration date
03/06/2012
Last updated
03/06/2012
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