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Individual

IMEE LAURENARIA JANABAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2754 COBBLER ST, MANTECA, CA 95337-8723
(209) 305-7584
Mailing address
2754 COBBLER ST, MANTECA, CA 95337-8723
(209) 305-7584

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
95038734
CA

Other

Enumeration date
05/13/2026
Last updated
05/13/2026
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