Individual
JACQUELINE EMANUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2080 S E ST, SAN BERNARDINO, CA 92408-2773
(909) 388-9191
Mailing address
2080 S E ST, SAN BERNARDINO, CA 92408-2773
(909) 388-9191
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
250354
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124100383
—
CA
Enumeration date
12/05/2013
Last updated
12/05/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us