Individual
JACQUELINE TOM JEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3260 KERNER BLVD, SAN RAFAEL, CA 94901-4861
(415) 473-6338
(415) 473-2179
Mailing address
899 NORTHGATE DR STE 100, SAN RAFAEL, CA 94903-3664
(415) 473-6338
(415) 473-6881
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN302387
CA
Other
Enumeration date
03/13/2009
Last updated
03/13/2009
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