Individual
JACQUELENE PATRICE BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
4443 MAY ST, SACRAMENTO, CA 95838-2318
(916) 873-7745
Mailing address
4443 MAY ST, SACRAMENTO, CA 95838-2318
(916) 873-7745
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN222706
CA
Other
Enumeration date
07/14/2011
Last updated
07/14/2011
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