JACQUELINE LICAUCO

BURBANK, CA
NPI1467857284
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95000859)
Enumeration Date2014-10-23
Last Update Date2019-08-06
Business Address
JACQUELINE LICAUCO NP
191 S BUENA VISTA SUITE 100
BURBANK, CA 91505-4554
Phone number: 818-869-7600
Mailing Address
JACQUELINE LICAUCO NP
PO BOX 9602
MISSION HILLS, CA 91346-9602
Phone number: 818-837-5559
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