Dizon, Jacqueline

Dizon, Jacqueline is an individual health care provider with primary practice located at 400 N Pepper Ave , Colton CA 92324-1801. She recently has only one registered license in Nursing Service Providers / Licensed Psychiatric Technician, which is considered as her primary health care specialty. Dizon, Jacqueline can be contacted via phone (909) 580-3145.

Contact Information

Primary practice address
400 N Pepper Ave Colton CA 92324-1801
Phone: (909) 580-3145
Fax: (909) 580-2165
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Psychiatric Technician 167G00000X 38178 California

Profile Details

NPI number 1598202970
LBN Legal business name Dizon, Jacqueline
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2017
Last updated Jan 24th, 2017 - about 7 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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