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Jettele Joy D Lara, FNP-C
Pediatric Nurse Practitioner in West Covina, California
NPI 1043931629

Jettele Joy D Lara is a Pediatric Nurse Practitioner based in Glendora, CA and is specialized in Pediatrics. Jettele Joy D Lara practices in West Covina, CA and has the professional credentials of FNP-C. The NPI Number for Jettele Joy D Lara is 1043931629 and holds a License No. 95019623 (California).

The current practice location address for Jettele Joy D Lara is 1135 S Sunset Ave Ste 401, West Covina, CA and can be reached out via phone at 626-732-8393.

Location: 1135 S Sunset Ave Ste 401, West Covina, CA, 91740-4529
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043931629
Provider Name
Jettele Joy D Lara
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
1135 S Sunset Ave Ste 401, West Covina, CA, 91740-4529
Phone Number
626-732-8393
Fax Number
Provider Enumeration Date
09/12/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1135 S Sunset Ave Ste 401
City
West Covina
State
California
Zip
91790-3921
Phone Number
626-732-8393
Fax Number
person
Provider Business Mailing Address Details
Address
1135 S Sunset Ave Ste 401
City
West Covina
State
California
Zip
91790-3921
Phone Number
626-732-8393
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
95019623 (California)
Definition
Definition to come...
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