Organization
JACQUELINE SEVILLA MD A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE SEVILLA MD (PRESIDENT)
(760) 342-2295
Entity
Organization
Contact information
Practice address
81715 DOCTOR CARREON BLVD, A-1, INDIO, CA 92201-0601
(760) 323-9309
(760) 610-8995
Mailing address
81715 DOCTOR CARREON BLVD, A-1, INDIO, CA 92201-0601
(760) 323-9309
(760) 610-8995
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A87837
CA
Other
Enumeration date
07/17/2015
Last updated
07/17/2015
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