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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