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JAYNE RANEE ANTOLIN
>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1306351689
Individual Registrant:
JAYNE RANEE ANTOLIN
Gender: F
Not Sole Proprietor
Location and contact information for practice:
69175 RAMON RD BLDG A CATHEDRAL CITY, CA 92234-3344 US
Tel: 760-321-6776 Fax: --
Contact information for business:
36289 CHERRYWOOD DR YUCAIPA, CA 92399-5730 US
Tel: -- Fax: --
Registration Information:
NPI: 1306351689
Entity Type: Individual
Specialty information:
Primary | Code | Category/Description | State | License Number |
---|
N | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner
| CA | 95053544 |
Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | CA | 95006784 |
Legacy codes, insurance codes and state license numbers:
HEALTH CARE JOBS CA - Page 1