Individual
MISS JACQUELINE XS LAGANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, WHNP
Contact information
Practice address
518 GARDEN ST, SANTA BARBARA, CA 93101
(805) 963-2445
(805) 965-2292
Mailing address
2729 S 1000 E, SALT LAKE CITY, UT 84106-2241
(801) 953-4320
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
95009305
CA
367A00000X
Advanced Practice Midwife
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95009305
NURSE PRACTITIONER
CA
Enumeration date
04/02/2012
Last updated
12/29/2023
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