JACQUELINE RENEE COGHILL

EUREKA, CA
NPI1740831767
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: CA  95012163)
Enumeration Date2019-09-20
Last Update Date2019-09-20
Business Address
JACQUELINE RENEE COGHILL
WATERFRONT RECOVERY SERVICES 2413 2ND ST
EUREKA, CA 95501
Phone number: 707-269-9590
Mailing Address
JACQUELINE RENEE COGHILL
3126 J ST
EUREKA, CA 95503-5416
Phone number: 707-599-6736