Individual
MS. JENNIFER EDQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN, PHN, SNSC
Contact information
Practice address
545 CHANEY ST, LAKE ELSINORE, CA 92530-2712
(951) 285-3891
Mailing address
34037 CORKTREE RD, LAKE ELSINORE, CA 92532-2959
(951) 515-0806
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
811621
CA
Other
Enumeration date
04/29/2019
Last updated
04/29/2019
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