Individual
JACKLYN CHU NEVADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7860 GERBER RD, SACRAMENTO, CA 95828-4302
(916) 689-8578
Mailing address
9712 APPLE MILL DR, ELK GROVE, CA 95624-4707
(916) 477-1606
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
95237610
CA
Other
Enumeration date
04/23/2021
Last updated
04/23/2021
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