Individual
MS. JACQUELINE JEANETTE BRODSKY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1 UNIVERSITY DR, ALISO VIEJO, CA 92656-8081
(949) 480-4143
(949) 480-4246
Mailing address
8144 E CANDLEBERRY CIR, ORANGE, CA 92869-4500
(714) 639-0992
(949) 480-4246
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
166872
CA
Other
Enumeration date
11/16/2005
Last updated
07/08/2007
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