Carrillo, Jacqueline Lizet

Carrillo, Jacqueline Lizet is an individual health care provider with primary practice located at 4150 Clement St , San Francisco CA 94121-1563. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Carrillo, Jacqueline Lizet can be contacted via phone (415) 750-2110.

Contact Information

Primary practice address
4150 Clement St San Francisco CA 94121-1563
Phone: (415) 750-2110
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 95018581 California

Profile Details

NPI number 1063178861
LBN Legal business name Carrillo, Jacqueline Lizet
Credentials AG-NP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2021
Last updated Apr 1st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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