Jara, Maria Corazon Jose

Jara, Maria Corazon Jose is an individual health care provider with primary practice located at 1845 N Fair Oaks Ave , Pasadena CA 91103-1620. She recently has only one registered license in Nursing Service Providers / Administrator, which is considered as her primary health care specialty. Jara, Maria Corazon Jose can be contacted via phone (626) 744-6005.

Contact Information

Primary practice address
1845 N Fair Oaks Ave Pasadena CA 91103-1620
Phone: (626) 744-6005
Fax: (626) 744-6115
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Administrator 163WA2000X RN288512 California

Profile Details

NPI number 1518175033
LBN Legal business name Jara, Maria Corazon Jose
Credentials RN, PHN
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518175033 NPPES
California Other RN288512 LICENSE NUMBER

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