Individual
JACQUELINE MICHELLE LEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
22032 EL PASEO STE 220, RANCHO SANTA MARGARITA, CA 92688-3947
(949) 888-5448
(949) 888-7427
Mailing address
2285 CORPORATE CIR, STE 200, HENDERSON, NV 89074-7759
(702) 360-2763
(949) 783-2880
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
20A12190
CA
Other
Enumeration date
07/27/2009
Last updated
11/13/2017
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