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Individual

MS. JACQUELINE FRANK

Active
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Individual

MS. JACQUELINE FRANK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN611132
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
NA2942
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NA0029420
BLUE SHIELD OF CA
CA
01
P00412646
RAILROAD MEDICARE
CA
05
RN0029420
CA
Enumeration date
10/27/2006
Last updated
01/06/2022
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