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NPI Code Detail

MEDICARE: JENAE RAINERI R.N.

MEDICARE:   JENAE  RAINERI  R.N.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse574546CA

General Provider Information

NPI Number : 1154600179
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENAE RAINERI R.N.
Provider Business Mailing Address
First Line : 5255 E SPRING ST
Second Line :
City : LONG BEACH
State : CA
Zip : 90808-3517
Country : US
Telephone Number : 714-884-2201
Fax Number :
Provider Business Practice Location Address
First Line : 600 W SANTA ANA BLVD
Second Line : SUITE 405
City : SANTA ANA
State : CA
Zip : 92701-4558
Country : US
Telephone Number : 714-565-3780
Fax Number : 714-565-3788
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2011
Last Update Date : 08/08/2011

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Directions to “ JENAE RAINERI R.N.” Practice Location

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