Organization
JACQUELINE STARK NURSING PC
Active
Organization
JACQUELINE STARK NURSING PC
Active
Other names
Bronze Star Medical Staff Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE STARK CRNA (PRESIDENT/OWNER)
(714) 640-4460
Entity
Organization
Contact information
Practice address
2951 BLUEBELL AVE, BREA, CA 92821-4702
(714) 640-4460
(888) 607-0923
Mailing address
5 HOLLAND, SUITE 101, IRVINE, CA 92618-2566
(949) 588-2190
(949) 588-2190
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
07/30/2015
Last updated
07/30/2015
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