Individual
JADA MARIE KRUEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5031 SHOOTING STAR RD, POLLOCK PINES, CA 95726-9447
(760) 666-0869
Mailing address
5031 SHOOTING STAR RD, POLLOCK PINES, CA 95726-9447
(760) 666-0869
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
235805
CA
Other
Enumeration date
01/26/2026
Last updated
01/26/2026
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