Individual
JACQUELINE LOOMANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
468 S FRANKLIN ST, FORT BRAGG, CA 95437-4803
(707) 961-0172
Mailing address
468 S FRANKLIN ST, FORT BRAGG, CA 95437-4803
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/29/2015
Last updated
01/29/2015
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