Individual
MS. ROSE MARIE JACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
280 COHASSET RD, CHICO, CA 95926-2210
(530) 879-5007
(530) 879-5013
Mailing address
280 COHASSET RD, CHICO, CA 95926-2210
(530) 879-5007
(530) 879-5013
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
193201
CA
Other
Enumeration date
09/03/2009
Last updated
09/03/2009
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