Individual
MS. JACQUELINE GUILLORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2249 THORNCROFT CIR, PALMDALE, CA 93551-6953
(661) 492-3447
Mailing address
2249 THORNCROFT CIR, PALMDALE, CA 93551-6953
(661) 492-3447
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
532066
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN532066
RN LICENSE 532066
CA
Enumeration date
05/23/2016
Last updated
05/23/2016
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