Austin Jacquillard
NPI #1669287835 in Clearlake, California
Provider Information
- NPI Number
- 1669287835
- Entity Type
- Individual
- Name
- Austin Jacquillard
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Vocational Nurse
- Enumeration Date
- Feb 12, 2025
- Last Updated
- Feb 12, 2025
Practice Location
- Address
- 15145 LAKESHORE DR
- City
- Clearlake
- State
- California
- ZIP Code
- 95422-8106
- Phone
- (707) 995-7200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Vocational Nurse |
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