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Individual

JACQUELINE CARINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
7215 N FRESNO ST STE 101, FRESNO, CA 93720-2969
(559) 449-0309
Mailing address
2166 E WARWICK AVE, FRESNO, CA 93720-3913
(559) 709-5484

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
19278
CA

Other

Enumeration date
10/07/2018
Last updated
10/07/2018
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