Ji Hae Ra, NP
NPI #1154757227 in Cerritos, California
Provider Information
- NPI Number
- 1154757227
- Entity Type
- Individual
- Name
- Ji Hae Ra, NP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- NP
- Enumeration Date
- Sep 20, 2013
- Last Updated
- Sep 20, 2013
Practice Location
- Address
- 12900 PARK PLAZA DR
- Address 2
- STE 150
- City
- Cerritos
- State
- California
- ZIP Code
- 90703-9329
- Phone
- (562) 741-4470
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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