Individual
JACQUELYN BALENA EDRALIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
256 BEL AIR DR, VACAVILLE, CA 95687-6337
(707) 310-0307
Mailing address
256 BEL AIR DR, VACAVILLE, CA 95687-6337
(707) 310-0307
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
692443
CA
Other
Enumeration date
05/08/2026
Last updated
05/08/2026
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