Tak, Jacqueline

Tak, Jacqueline is an individual health care provider with primary practice located at 14112 S Kingsley Dr , Gardena CA 90249-3018. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Tak, Jacqueline can be contacted via phone (310) 217-7331.

Contact Information

Primary practice address
14112 S Kingsley Dr Gardena CA 90249-3018
Phone: (310) 217-7331
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1649468695
LBN Legal business name Tak, Jacqueline
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2007
Last updated Oct 3rd, 2007 - about 17 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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