Individual
JACQUELINE B INTOC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1255 LIONS PEAK LN, SAN MARTIN, CA 95046-9478
(408) 799-6091
Mailing address
1255 LIONS PEAK LN, SAN MARTIN, CA 95046-9478
(408) 799-6091
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
205388
CA
Other
Enumeration date
05/29/2009
Last updated
05/30/2009
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