Search › California › 363LF0000X
Jacqueline Anderson
NPI 1205245255 · on the registry since 2014 · sole proprietor
Practice
- Address
- 2057 Northfield Dr
Santa Rosa, CA 95403 - Phone
- (707) 775-8510
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 363L00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-10-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California