NPI Profile for JENNIFER A SISON MARIANO in STEVENSON RANCH, CA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Wound Care |
163WW0000X | |||
Ambulatory Care |
163WP2201X | |||
Continence Care |
163WC2100X | |||
Enterostomal Therapy |
163WE0900X | |||
Home Health |
163WH0200X | |||
Ostomy Care |
163WX1500X | |||
Registered Nurse |
163W00000X |
| NPI # | 1306336326 |
|
| Status | Active | |
| Credentials | RN, CWOCN, WCC | |
| Entity | Individual | |
| Enumeration date | 05/15/2018 | |
| Last updated | 05/15/2018 - About 8 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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