Individual
JACQUELINE SAY SEVILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
81-715 DOCTOR CARREON BOULEVARD, SUITE A-1, INDIO, CA 92201-0601
(760) 323-9309
(760) 610-8995
Mailing address
81-715 DOCTOR CARREON BOULEVARD, SUITE A-1, INDIO, CA 92201-0601
(760) 342-2295
(760) 342-1415
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A87837
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A878370
—
CA
05
—
GR0042690
—
CA
Enumeration date
12/28/2006
Last updated
05/11/2015
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