Individual
JACQUELINE MINOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1840 CAPITOL ST, VALLEJO, CA 94590-5721
(510) 205-7787
Mailing address
1840 CAPITOL ST, VALLEJO, CA 94590-5721
(510) 205-7787
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
CA
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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