JACQUELINE NICOLE BAEZA

TARZANA, CA
NPI1346172251
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95031503)
Enumeration Date2026-06-03
Last Update Date2026-06-03
Business Address
JACQUELINE NICOLE BAEZA
19626 VENTURA BLVD STE 225
TARZANA, CA 91356-6038
Phone number: 747-215-2070
Mailing Address
JACQUELINE NICOLE BAEZA
10650 REAGAN ST # 386
LOS ALAMITOS, CA 90720-9998
Phone number: