Individual
JACQUELYNE MARSTORP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
34168 AMICI ST, TEMECULA, CA 92592-5583
(760) 807-9733
Mailing address
34168 AMICI ST, TEMECULA, CA 92592-5583
(760) 807-9733
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
249268
CA
Other
Enumeration date
04/26/2023
Last updated
05/10/2023
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