Doctor Name: | CYNTHIA DE JARNETT |
NPI Number: | 1023409620 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 95002021 |
Business Practice Address: | 12900 Park Center Dr. #150 Cerritos, CA - 90703 |
Business Phone Number: | 8666463553 |
Business Fax Number: | 5626223058 |
Mailing Address: | 2225 Artesia Blvd, TORRANCE |
State: | CA |
Postal Code: | 905042945 |
Phone Number: | 5627541976 |
Fax Number: | |
NPI Enumeration Date: | 02/18/2015 |
NPI Last Update Date: | 02/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 95002021 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |