Jacqueline Islas

NPI 1003153149 - Counselor - 101YM0800X

NPI Details
NPI 1003153149
Gender Female
Enumeration Date 01/09/2013
Last Updated 03/24/2016
Entity Type Individual
Active Over 4 years ago
Practice Location
1633 E 4TH ST STE 120
SANTA ANA CA, 92701-5143, US
Phone (714) 565-2830
Fax (714) 565-2833
Business Location
1633 E 4TH ST STE 120
SANTA ANA CA, 92701-5143, US
Phone (714) 565-2830
Fax (949) 733-1438
Toxanomy
Taxonomy Code 101YM0800X
License State California
License Number IMF 71257
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According to our database, Ms. Jacqueline Islas NPI is 1003153149, taxonomy code is 101YM0800X and license number is IMF 71257, license state is located at California. Jacqueline Islas physically located at 1633 E 4th St Ste 120, Santa Ana CA, 92701-5143. NPI Number Jacqueline Islas has the Individual type.

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1003153149 NPI number is provided on an as is basis without warranty of any kind. 1003153149 is maintained by the National Plan & Provider Enumeration System. The contents of Jacqueline Islas are for informational purposes only.