Individual
JACQUELINE FOLGAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11505 GREVILLEA AVE, HAWTHORNE, CA 90250-2218
(310) 922-7624
Mailing address
11505 GREVILLEA AVE, HAWTHORNE, CA 90250-2218
(310) 922-7624
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
261485
CA
Other
Enumeration date
07/31/2015
Last updated
07/31/2015
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