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Individual

JANELLE WAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
949 PALM AVE, IMPERIAL BEACH, CA 91932-1503
(619) 429-3733
Mailing address
949 PALM AVE, IMPERIAL BEACH, CA 91932-1503
(619) 429-3733

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
95289058
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95028916
CA

Other

Enumeration date
08/23/2022
Last updated
02/14/2024
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