Individual
JACLYN VICTORIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
9291 LAGUNA SPRINGS DR STE A, ELK GROVE, CA 95758-7843
(916) 714-9777
(916) 714-9713
Mailing address
2475 AUTUMN MEADOW AVE, SACRAMENTO, CA 95835-2107
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
95005332
CA
Other
Enumeration date
05/23/2020
Last updated
02/22/2022
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