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Senior Adjaino
Psychiatric/Mental Health Nurse Practitioner in Garden Grove, California
NPI 1720784390

Senior Adjaino is a Psychiatric/Mental Health Nurse Practitioner based in Garden Grove, CA and is specialized in Psychiatric/Mental Health. Senior Adjaino practices in Garden Grove, CA. The NPI Number for Senior Adjaino is 1720784390 and holds a License No. 95024107 (California).

The current practice location address for Senior Adjaino is 12601 Garden Grove Blvd, Garden Grove, CA and can be reached out via phone at 714-741-2789.

Location: 12601 Garden Grove Blvd, Garden Grove, CA, 92842-0749
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720784390
Provider Name
Senior Adjaino
Credential
Provider Entity Type
Individual
Gender
Male
Address
12601 Garden Grove Blvd, Garden Grove, CA, 92842-0749
Phone Number
714-741-2789
Fax Number
Provider Enumeration Date
02/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12601 Garden Grove Blvd
City
Garden Grove
State
California
Zip
92843-1908
Phone Number
714-741-2789
Fax Number
person
Provider Business Mailing Address Details
Address
12601 Garden Grove Blvd
City
Garden Grove
State
California
Zip
92843-1908
Phone Number
714-741-2789
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
95024107 (California)
Definition
Definition to come...
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