| NPI | 1821182320 |
|---|---|
| Former Name | JACQUELINE MARQUITO CHANNELLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: NC 050671) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |