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Individual

JACQUELINE ALICE JOHNSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
2000 SUTTER PL, DAVIS, CA 95616-6201
(530) 757-5111
Mailing address
2016 BIDWELL WAY, SACRAMENTO, CA 95818-4308
(562) 394-8133

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20A12181
CA

Other

Enumeration date
07/01/2008
Last updated
07/24/2026
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