Mac Jane INC
NPI #1093469009 in Cerritos, California
Provider Information
- NPI Number
- 1093469009
- Entity Type
- Organization
- Organization Name
- Mac Jane INC
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Feb 8, 2022
- Last Updated
- Feb 11, 2022
Practice Location
- Address
- 11200 LUCAS ST
- City
- Cerritos
- State
- California
- ZIP Code
- 90703-1626
- Phone
- (562) 565-0699
Authorized Official
- Name
- JANET AGU
- Title
- OWNER
- Phone
- (562) 565-0699
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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