Individual
JACKLYN MARUAL NGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
16420 HALSTED ST, NORTH HILLS, CA 91343-1817
(818) 271-7262
Mailing address
500 CAGNEY LN APT 108, NEWPORT BEACH, CA 92663-2683
(818) 271-7262
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95005212
CA
Other
Enumeration date
10/18/2016
Last updated
09/10/2020
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