Individual
JACQUELYN BURNESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
250 BON AIR RD, GREENBRAE, CA 94904-1702
(415) 473-6829
Mailing address
2 TWIN CREEKS CT, NOVATO, CA 94947-3205
(415) 493-6204
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
846086
CA
Other
Enumeration date
10/27/2015
Last updated
10/27/2015
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