Licauco, Jacqueline

Licauco, Jacqueline is an sole proprietor health care provider with primary practice located at 191 S Buena Vista Suite 100, Burbank CA 91505-4554. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Licauco, Jacqueline can be contacted via phone (818) 869-7600.

Contact Information

Primary practice address
191 S Buena Vista Suite 100 Burbank CA 91505-4554
Phone: (818) 869-7600
Fax: (814) 433-3691
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95000859 California

Profile Details

NPI number 1467857284
LBN Legal business name Licauco, Jacqueline
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2014
Last updated Aug 6th, 2019 - about 5 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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