Gridiron, Jacqualine

Gridiron, Jacqualine is an individual health care provider with primary practice located at 1830 S Central St , Visalia CA 93277-4418. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Health Educator. Other Service Providers / Health Educator is her primary health care specialty. Gridiron, Jacqualine can be contacted via phone (559) 730-2969.

Contact Information

Primary practice address
1830 S Central St Visalia CA 93277-4418
Phone: (559) 730-2969
Fax: (559) 730-2991
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Health Educator 174H00000X

Profile Details

NPI number 1073999223
LBN Legal business name Gridiron, Jacqualine
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2015
Last updated Apr 9th, 2025 - about last year

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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