Individual
JACQUELINE ELIZABETH TRASK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 EAGLE RD, HEALTH SERVICE DEPARTMENT, ALAMEDA, CA 94501-5100
(510) 437-3582
(510) 437-3611
Mailing address
1 EAGLE RD, HEALTH SERVICE DEPARTMENT, ALAMEDA, CA 94501-5100
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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