Individual
JACQUELYN BECERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(800) 926-8273
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
041416690
IL
367500000X
Certified Registered Nurse Anesthetist
95000293
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95055880
CA
Other
Enumeration date
01/29/2014
Last updated
03/18/2021
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