Brazil, Jacqueline Ann

Brazil, Jacqueline Ann is an sole proprietor health care provider with primary practice located at 3390 Country Village Rd Apt 2217 , Riverside CA 92509-1084. She recently has only one registered license in Nursing Service Providers / Pediatrics, which is considered as her primary health care specialty. Brazil, Jacqueline Ann can be contacted via phone (951) 403-8879.

Contact Information

Primary practice address
3390 Country Village Rd Apt 2217 Riverside CA 92509-1084
Phone: (951) 403-8879
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X 464833 California

Profile Details

NPI number 1699197590
LBN Legal business name Brazil, Jacqueline Ann
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2014
Last updated Jan 11th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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