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NPI Profile for CYNTHIA M GANANIAN JACKSON in NICE, CA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Psychiatric/Mental Health |
163WP0808X |
| NPI Number | 1891069084 |
|
| Status | Active | |
| Credentials | RN (Registered Nurse) | |
| Entity | Individual | |
| Enumeration date | 03/06/2012 | |
| Last updated | 03/06/2012 - About 14 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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CYNTHIA M GANANIAN JACKSON
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CYNTHIA M GANANIAN JACKSON, RN