Individual
MS. JACQUELINE VEJAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1555 LARRY ST, OLIVEHURST, CA 95961-9356
(530) 740-3132
Mailing address
1555 LARRY ST, OLIVEHURST, CA 95961-9356
(530) 740-3132
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
CA
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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