Provider Information for 1275935710
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JANISE ZAYAS
Sex: Female
NPI: 1275935710
Last Updated: 2019-11-12
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1275935710 | ||||||||
| Enumeration Date | 2014-09-16 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 25562 GLORIOSA DR MISSION VIEJO, CA 92691-4644 United States Phone: 408-390-2278 | Fax: | ||||||||
| Primary Practice Address | 4000 W METROPOLITAN DR ORANGE, CA 92868-3504 United States Phone: 714-935-6117 | Fax: | ||||||||
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