Individual
JACQUELYN ROSE WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
800 S VICTORIA AVE # 4615, VENTURA, CA 93009-0003
(805) 275-8262
(805) 339-1128
Mailing address
800 S VICTORIA AVE # 4615, VENTURA, CA 93009-0003
(805) 275-8262
(805) 339-1128
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
689979
CA
Other
Enumeration date
01/18/2024
Last updated
01/18/2024
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