Individual
DR. JACQUELINE I DECAYETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1300 MABLE AVE # 1, MODESTO, CA 95355-1120
(209) 571-1633
(209) 491-0772
Mailing address
210 N TUSTIN AVE, SANTA ANA, CA 92705-3807
(714) 347-1010
(714) 647-1245
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A43343
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A433430
—
CA
Enumeration date
03/14/2006
Last updated
06/24/2015
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