Individual
JACQUELINE CARISA MADRIGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3133 N MILLBROOK AVE, FRESNO, CA 93703-1425
(559) 673-2700
Mailing address
3133 N MILLBROOK AVE, FRESNO, CA 93703-1425
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
241423
CA
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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