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JACQUELYN KAUILANI PAIGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1520 SAN PABLO ST STE 4300, LOS ANGELES, CA 90033-5330
(323) 865-1544
(323) 442-5735
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-5849

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
95006975
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
NP95006975
CA

Other

Enumeration date
07/18/2017
Last updated
08/19/2020
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