Jaclyn Jolene Sandberg

NPI #1174816672 in Cedar Rapids, Iowa

Provider Information

NPI Number: 1174816672
Entity Type: Individual
Name: Jaclyn Jolene Sandberg
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Home Health Aide
Enumeration Date: May 17, 2011
Last Updated: May 17, 2011

Practice Location

Address: 944 18TH AVE SW
City: Cedar Rapids
State: Iowa
ZIP Code: 52404-2608
Phone: (319) 961-5664

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health Aide	374U00000X	Primary
Homemaker	376J00000X

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