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Individual
JACQUELYN LOUISE SERRANO
Active
Individual
JACQUELYN LOUISE SERRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7210
AK
207Q00000X
Family Medicine Physician
MD25784
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0200598
L & I
WA
05
—
1574175
—
AK
05
—
8434375
—
WA
01
—
911019392
COMMERCIAL
—
Enumeration date
08/31/2006
Last updated
03/07/2023
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