Individual
JACQUELIN JANET TEJEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11980 MOUNT VERNON AVE, GRAND TERRACE, CA 92313-5172
(951) 654-0803
Mailing address
21641 BURCH ST, PERRIS, CA 92570-5648
(951) 346-6921
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
95178939
CA
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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