Individual
JACQUELINE DEATS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 UNIVERSITY DR, ORANGE, CA 92866-1005
(714) 997-6851
(714) 744-7077
Mailing address
1 UNIVERSITY DR, ORANGE, CA 92866-1005
(714) 997-6851
(714) 744-7077
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6849
CA
Other
Enumeration date
06/25/2014
Last updated
06/25/2014
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