Individual
JACQUELINE DUENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
303 E VANDERBILT WAY, SAN BERNARDINO, CA 92415-0026
(909) 386-8257
Mailing address
303 E VANDERBILT WAY, SAN BERNARDINO, CA 92415-0026
(909) 386-8257
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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